Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,162.28 / $6,760.83	Facility		$812.83	$3,162.28	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,137.96	Professional		$691.83	$1,047.13	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $4,786.30	Facility		$1,071.52	$1,819.70	$4,786.30
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	54	$3,162.28	$3,162.28	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $2,041.74	Professional		$1,513.56	$1,698.24	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,248.07	Facility		$1,819.70	$3,890.45	$5,248.07