Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,398.83 / $6,456.54	Facility		$645.65	$2,398.83	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,023.29	Professional		$338.84	$575.44	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,023.29 / $5,128.61	Facility		$512.86	$1,023.29	$5,128.61
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	54	$3,162.28	$3,162.28	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,122.02	Professional		$724.44	$933.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57