Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,630.78 / $6,760.83	Facility		$295.12	$3,630.78	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $15,848.93	Facility	50	$2,630.27	$2,630.27	$15,848.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $912.01 / $2,398.83	Professional		$371.54	$912.01	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,801.89 / $17,782.79	Facility		$831.76	$3,801.89	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,949.84	Professional		$831.76	$933.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $18,620.87	Facility		$5,495.41	$9,332.54	$18,620.87