Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.00 / $2,991.00 / $6,298.62	Facility		$517.00	$2,991.00	$6,298.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $612.74 / $1,644.91	Professional		$171.08	$612.74	$1,644.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.61 / $1,112.28 / $8,972.49	Facility		$455.61	$1,112.28	$8,972.49
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $664.86 / $664.86 / $664.86	Facility	52	$664.86	$664.86	$664.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $443.44 / $1,131.58 / $3,054.91	Facility		$443.44	$1,131.58	$3,054.91
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00