Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $6,405.00 / $10,255.42	Facility		$5,091.00	$6,405.00	$10,255.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,316.79 / $2,186.14 / $4,716.88	Professional		$1,316.79	$2,186.14	$4,716.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,195.17 / $3,402.51 / $12,314.00	Facility		$2,195.17	$3,402.51	$12,314.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,159.08 / $5,159.08 / $5,159.08	Facility	52	$5,159.08	$5,159.08	$5,159.08
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $644.89 / $644.89 / $644.89	Facility	AS	$644.89	$644.89	$644.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,551.92 / $3,140.80 / $4,167.09	Facility		$2,551.92	$3,140.80	$4,167.09
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00