Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,981.07 / $6,760.83	Facility		$724.44	$3,981.07	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,445.44	Professional		$338.84	$602.56	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $5,128.61	Facility		$588.84	$1,071.52	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,230.27	Professional		$776.25	$933.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57