Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,365.16 / $10,000.00	Facility		$691.83	$4,365.16	$10,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $1,348.96	Professional		$416.87	$724.44	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $26,302.68	Facility		$794.33	$1,230.27	$26,302.68
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $41,686.94 / $41,686.94 / $41,686.94	Facility	52	$41,686.94	$41,686.94	$41,686.94
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility	53	$10,232.93	$10,232.93	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,584.89	Professional		$977.24	$1,096.48	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $15,848.93 / $27,542.29	Facility		$12,302.69	$15,848.93	$27,542.29