Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,981.07 / $6,760.83	Facility		$1,174.90	$3,981.07	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,884.03	Professional		$691.83	$1,047.13	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $17,782.79	Facility		$1,122.02	$1,949.84	$17,782.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility	AS	$2,570.40	$2,570.40	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $1,995.26	Professional		$1,513.56	$1,737.80	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45