Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.50 / $2,352.00 / $7,119.04	Facility		$1,126.50	$2,352.00	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $696.44 / $1,131.56 / $2,250.08	Professional		$696.44	$1,131.56	$2,250.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,144.93 / $1,763.19 / $2,514.85	Facility		$1,144.93	$1,763.19	$2,514.85
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,142.04 / $2,142.04 / $2,142.04	Facility	62	$2,142.04	$2,142.04	$2,142.04
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $342.73 / $342.73 / $342.73	Facility	AS	$342.73	$342.73	$342.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,308.82 / $1,676.99 / $2,174.28	Facility		$1,308.82	$1,676.99	$2,174.28
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