Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,981.07 / $6,760.83	Facility		$933.25	$3,981.07	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $2,570.40	Professional		$524.81	$831.76	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $17,782.79	Facility		$933.25	$1,548.82	$17,782.79
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 $1,148.15 / $1,318.26 / $1,584.89	Professional		$1,148.15	$1,318.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45