Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $684.14 / $1,965.73	Professional		$447.69	$684.14	$1,965.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.33 / $1,123.69 / $1,728.53	Facility		$595.33	$1,123.69	$1,728.53
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,377.59 / $1,377.59 / $1,377.59	Facility	62	$1,377.59	$1,377.59	$1,377.59
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $220.41 / $220.41 / $220.41	Facility	AS	$220.41	$220.41	$220.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $834.16 / $1,097.34 / $1,418.19	Facility		$834.16	$1,097.34	$1,418.19
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