Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,365.16 / $7,079.46	Facility		$645.65	$4,365.16	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $724.44 / $1,548.82	Professional		$389.05	$724.44	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $15,135.61	Facility		$645.65	$1,288.25	$15,135.61
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	AS	$186.21	$186.21	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,621.81	Professional		$933.25	$1,096.48	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $19,498.45	Facility		$4,365.16	$7,413.10	$19,498.45