Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.91 / $2,563.00 / $6,446.00	Facility		$948.91	$2,563.00	$6,446.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $670.38 / $1,090.00 / $2,154.14	Professional		$670.38	$1,090.00	$2,154.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,094.22 / $1,698.77 / $9,082.00	Facility		$1,094.22	$1,698.77	$9,082.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,062.56 / $2,062.56 / $2,062.56	Facility	62	$2,062.56	$2,062.56	$2,062.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $330.01 / $330.01 / $330.01	Facility	AS	$330.01	$330.01	$330.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,249.88 / $1,600.47 / $2,073.27	Facility		$1,249.88	$1,600.47	$2,073.27
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,479.00	Facility		$8,220.00	$9,346.00	$14,479.00