Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $4,604.83 / $8,042.03	Facility		$934.00	$4,604.83	$8,042.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,172.56 / $3,172.56 / $3,172.56	Facility	50	$3,172.56	$3,172.56	$3,172.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $411.90 / $809.86	Professional		$215.87	$411.90	$809.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.20 / $750.96 / $14,595.02	Facility		$502.20	$750.96	$14,595.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $706.02 / $4,487.09	Facility		$484.32	$706.02	$4,487.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,799.00 / $10,320.00	Facility		$4,700.00	$7,799.00	$10,320.00