Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,464.22 / $6,446.00 / $16,529.04	Facility		$4,464.22	$6,446.00	$16,529.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.55 / $2,354.71 / $3,995.68	Professional		$1,414.55	$2,354.71	$3,995.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,349.60 / $3,657.05 / $16,616.96	Facility		$2,349.60	$3,657.05	$16,616.96
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,380.60 / $4,380.60 / $4,380.60	Facility	62	$4,380.60	$4,380.60	$4,380.60
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $700.90 / $700.90 / $700.90	Facility	AS	$700.90	$700.90	$700.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,710.55 / $3,369.69 / $4,467.42	Facility		$2,710.55	$3,369.69	$4,467.42
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00