Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,570.40 / $6,760.83	Facility		$426.58	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $870.96	Professional		$263.03	$398.11	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $1,995.26	Facility		$426.58	$724.44	$1,995.26
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $758.58	Professional		$588.84	$660.69	$758.58
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