Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.17 / $529.13 / $960.49	Professional		$294.17	$529.13	$960.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $1,030.97 / $22,089.33	Facility		$604.00	$1,030.97	$22,089.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $996.96 / $13,038.56	Facility		$604.00	$996.96	$13,038.56
United Facility/Professional Facility Modifier Low / Median / High Price $10,398.00 / $15,622.00 / $26,415.00	Facility		$10,398.00	$15,622.00	$26,415.00