Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,570.40 / $6,760.83	Facility		$549.54	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,047.13	Professional		$331.13	$512.86	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,949.84	Facility		$549.54	$831.76	$1,949.84
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	62	$1,023.29	$1,023.29	$1,023.29
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	AS	$162.18	$162.18	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $954.99	Professional		$776.25	$851.14	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13