Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,819.70 / $6,760.83	Facility		$251.19	$1,819.70	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $1,000.00	Professional		$302.00	$457.09	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $9,772.37	Facility		$489.78	$758.58	$9,772.37
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	62	$912.01	$912.01	$912.01
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	AS	$147.91	$147.91	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Professional		$707.95	$758.58	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $9,332.54 / $14,454.40	Facility		$7,244.36	$9,332.54	$14,454.40