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 $1,191.43 / $1,868.37 / $3,194.06	Professional		$1,191.43	$1,868.37	$3,194.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,961.04 / $2,863.15 / $10,463.00	Facility		$1,961.04	$2,863.15	$10,463.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,722.09 / $3,722.09 / $3,722.09	Facility	62	$3,722.09	$3,722.09	$3,722.09
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $595.54 / $595.54 / $595.54	Facility	AS	$595.54	$595.54	$595.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,249.00 / $2,863.15 / $3,648.65	Facility		$2,249.00	$2,863.15	$3,648.65
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