Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,570.40 / $6,760.83	Facility		$208.93	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $263.03	Professional		$134.90	$186.21	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $1,621.81	Facility		$199.53	$316.23	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $380.19	Professional		$302.00	$331.13	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13