Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,786.30 / $7,079.46	Facility		$1,348.96	$4,786.30	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,884.03	Professional		$794.33	$1,202.26	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $31,622.78	Facility		$1,230.27	$2,290.87	$31,622.78
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	AS	$4,677.35	$4,677.35	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,344.23	Professional		$1,737.80	$1,995.26	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $34,673.69	Facility		$8,511.38	$13,489.63	$34,673.69