Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $6,760.83	Facility		$1,778.28	$3,235.94	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $4,168.69	Professional		$1,047.13	$1,445.44	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $31,622.78	Facility		$1,202.26	$2,884.03	$31,622.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $3,019.95	Professional		$1,778.28	$2,630.27	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,772.37 / $34,673.69	Facility		$5,495.41	$9,772.37	$34,673.69