Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $10,255.42	Facility		$5,012.00	$6,298.62	$10,255.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.14 / $1,960.84 / $3,204.38	Professional		$1,210.14	$1,960.84	$3,204.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,987.86 / $2,909.00 / $10,463.00	Facility		$1,987.86	$2,909.00	$10,463.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,781.71 / $3,781.71 / $3,781.71	Facility	62	$3,781.71	$3,781.71	$3,781.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $605.07 / $605.07 / $605.07	Facility	AS	$605.07	$605.07	$605.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,268.00 / $2,909.00 / $3,695.06	Facility		$2,268.00	$2,909.00	$3,695.06
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