Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,951.21 / $6,456.54	Facility		$602.56	$2,951.21	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,621.81	Professional		$338.84	$630.96	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $7,244.36	Facility		$562.34	$1,000.00	$7,244.36
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	AS	$165.96	$165.96	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,412.54	Professional		$831.76	$954.99	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51