Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $870.96 / $5,370.32	Facility		$288.40	$870.96	$5,370.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	54	$851.14	$851.14	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,659.59	Professional		$316.23	$512.86	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $758.58 / $1,348.96	Facility		$371.54	$758.58	$1,348.96
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	54	$1,148.15	$1,148.15	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,047.13	Professional		$758.58	$870.96	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23