Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,981.07 / $6,760.83	Facility		$537.03	$3,981.07	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,174.90	Professional		$323.59	$501.19	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $14,125.38 / $51,286.14	Facility		$630.96	$14,125.38	$51,286.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,348.96	Professional		$776.25	$851.14	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $19,054.61 / $51,286.14	Facility		$10,471.29	$19,054.61	$51,286.14