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 $331.92 / $542.17 / $1,040.89	Professional		$331.92	$542.17	$1,040.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.79 / $847.90 / $1,607.00	Facility		$545.79	$847.90	$1,607.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,020.88 / $1,020.88 / $1,020.88	Facility	62	$1,020.88	$1,020.88	$1,020.88
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $163.34 / $163.34 / $163.34	Facility	AS	$163.34	$163.34	$163.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $625.91 / $801.26 / $1,039.11	Facility		$625.91	$801.26	$1,039.11
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