Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $310.93 / $813.07	Professional		$196.57	$310.93	$813.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.92 / $488.69 / $5,847.00	Facility		$263.92	$488.69	$5,847.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $764.18 / $764.18 / $764.18	Facility	52	$764.18	$764.18	$764.18
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $597.02 / $597.02 / $597.02	Facility	62	$597.02	$597.02	$597.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $95.52 / $95.52 / $95.52	Facility	AS	$95.52	$95.52	$95.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $321.73 / $459.25 / $623.08	Facility		$321.73	$459.25	$623.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00