Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $6,760.83	Facility		$977.24	$3,090.30	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $2,398.83	Professional		$575.44	$870.96	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $17,378.01	Facility		$954.99	$1,659.59	$17,378.01
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	AS	$1,905.46	$1,905.46	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,659.59	Professional		$1,258.93	$1,445.44	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45