Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.81 / $4,033.00 / $7,119.04	Facility		$1,173.81	$4,033.00	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,613.19 / $1,613.19 / $4,758.83	Facility	50	$1,613.19	$1,613.19	$4,758.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $233.45 / $233.45	Professional	50	$233.45	$233.45	$233.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $558.57 / $916.95	Professional		$268.52	$558.57	$916.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $1,051.91 / $8,328.70	Facility		$608.00	$1,051.91	$8,328.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $1,137.33 / $2,571.84	Facility		$608.00	$1,137.33	$2,571.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00