Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $391.20 / $623.10 / $2,236.80	Professional		$391.20	$623.10	$2,236.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.06 / $853.53 / $1,204.00	Facility		$374.06	$853.53	$1,204.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,575.58 / $1,575.58 / $1,575.58	Facility	52	$1,575.58	$1,575.58	$1,575.58
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,378.64 / $1,378.64 / $1,378.64	Facility	54	$1,378.64	$1,378.64	$1,378.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.84 / $781.36 / $1,110.00	Facility		$201.84	$781.36	$1,110.00
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