Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,390.00 / $7,943.37	Facility		$4,393.00	$5,390.00	$7,943.37
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,901.47 / $4,901.47 / $4,901.47	Facility	22	$4,901.47	$4,901.47	$4,901.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.92 / $2,461.42 / $6,683.88	Professional		$1,602.92	$2,461.42	$6,683.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,079.76 / $3,905.77 / $9,082.00	Facility		$2,079.76	$3,905.77	$9,082.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,354.39 / $6,354.39 / $6,354.39	Facility	52	$6,354.39	$6,354.39	$6,354.39
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $794.30 / $794.30 / $794.30	Facility	AS	$794.30	$794.30	$794.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,153.74 / $3,818.75 / $5,195.47	Facility		$3,153.74	$3,818.75	$5,195.47
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22