Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $5,370.32 / $7,943.28	Facility		$295.12	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $933.25	Professional		$194.98	$354.81	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $6,606.93	Facility		$263.03	$501.19	$6,606.93
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	52	$758.58	$758.58	$758.58
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	62	$602.56	$602.56	$602.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	AS	$95.50	$95.50	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $812.83	Professional		$389.05	$478.63	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10