Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,110.42 / $1,110.42 / $1,110.42	Facility	54	$1,110.42	$1,110.42	$1,110.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $388.53 / $631.51 / $1,076.50	Professional		$388.53	$631.51	$1,076.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $1,004.75 / $3,258.00	Facility		$622.41	$1,004.75	$3,258.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,330.94 / $1,330.94 / $1,330.94	Facility	54	$1,330.94	$1,330.94	$1,330.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $861.45 / $1,008.52 / $1,597.11	Facility		$861.45	$1,008.52	$1,597.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00