Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.25 / $2,301.00 / $6,298.62	Facility		$563.25	$2,301.00	$6,298.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.19 / $558.94 / $2,214.65	Professional		$366.19	$558.94	$2,214.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.84 / $917.45 / $7,454.00	Facility		$500.84	$917.45	$7,454.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,126.85 / $1,126.85 / $1,126.85	Facility	62	$1,126.85	$1,126.85	$1,126.85
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $180.30 / $180.30 / $180.30	Facility	AS	$180.30	$180.30	$180.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $681.28 / $876.00 / $1,129.33	Facility		$681.28	$876.00	$1,129.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99