Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $6,298.62 / $13,441.90	Facility		$4,014.00	$6,298.62	$13,441.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $740.30 / $1,143.23 / $2,720.00	Professional		$740.30	$1,143.23	$2,720.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.38 / $1,833.63 / $11,732.00	Facility		$977.38	$1,833.63	$11,732.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,769.66 / $2,769.66 / $2,769.66	Facility	52	$2,769.66	$2,769.66	$2,769.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $692.42 / $692.42 / $692.42	Facility	53	$692.42	$692.42	$692.42
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,163.80 / $2,163.80 / $2,163.80	Facility	62	$2,163.80	$2,163.80	$2,163.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,199.33 / $1,778.11 / $2,304.12	Facility		$1,199.33	$1,778.11	$2,304.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99