Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,951.21 / $5,888.44	Facility		$812.83	$2,951.21	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,737.80	Professional		$436.52	$707.95	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $3,548.13	Facility		$660.69	$1,174.90	$3,548.13
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	54	$1,548.82	$1,548.82	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,445.44	Professional		$1,047.13	$1,174.90	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $4,365.16	Facility		$1,202.26	$2,137.96	$4,365.16