Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,888.44 / $10,232.93	Facility		$2,754.23	$5,888.44	$10,232.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $6,918.31	Professional		$1,659.59	$2,454.71	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $44,668.36	Facility		$2,238.72	$4,897.79	$44,668.36
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	62	$5,248.07	$5,248.07	$5,248.07
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	AS	$831.76	$831.76	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $4,897.79	Professional		$3,981.07	$4,265.80	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $19,054.61 / $72,443.60	Facility		$12,022.64	$19,054.61	$72,443.60