Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,786.30 / $7,413.10	Facility		$1,122.02	$4,786.30	$7,413.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $4,265.80	Professional		$1,202.26	$1,819.70	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $31,622.78	Facility		$1,862.09	$3,548.13	$31,622.78
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	AS	$4,786.30	$4,786.30	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,548.13	Professional		$2,630.27	$2,951.21	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $34,673.69	Facility		$8,511.38	$13,489.63	$34,673.69