Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.47 / $2,546.00 / $6,446.00	Facility		$419.47	$2,546.00	$6,446.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $557.45 / $1,754.45	Professional		$363.08	$557.45	$1,754.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.52 / $768.45 / $1,204.00	Facility		$332.52	$768.45	$1,204.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,281.15 / $1,281.15 / $1,281.15	Facility	54	$1,281.15	$1,281.15	$1,281.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.84 / $728.85 / $1,061.68	Facility		$201.84	$728.85	$1,061.68
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