Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.55 / $5,091.00 / $64,733.76	Facility		$1,119.55	$5,091.00	$64,733.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $594.95 / $1,283.11	Professional		$361.60	$594.95	$1,283.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $589.24 / $913.32 / $1,607.00	Facility		$589.24	$913.32	$1,607.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,112.64 / $1,112.64 / $1,112.64	Facility	62	$1,112.64	$1,112.64	$1,112.64
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $178.02 / $178.02 / $178.02	Facility	AS	$178.02	$178.02	$178.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $673.68 / $861.46 / $1,117.34	Facility		$673.68	$861.46	$1,117.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00