Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.47 / $2,912.34 / $7,119.04	Facility		$532.47	$2,912.34	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.03 / $286.22 / $1,084.08	Professional		$169.03	$286.22	$1,084.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $473.62 / $1,378.58	Facility		$238.54	$473.62	$1,378.58
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $651.70 / $651.70 / $651.70	Facility	54	$651.70	$651.70	$651.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.84 / $392.29 / $534.47	Facility		$201.84	$392.29	$534.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00