Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,370.32 / $13,489.63	Facility		$1,174.90	$5,370.32	$13,489.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,884.03	Professional		$741.31	$1,148.15	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $11,481.54	Facility		$977.24	$2,041.74	$11,481.54
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	52	$2,754.23	$2,754.23	$2,754.23
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	53	$691.83	$691.83	$691.83
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	62	$2,187.76	$2,187.76	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,951.21	Professional		$1,479.11	$1,819.70	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $12,302.69	Facility		$6,456.54	$8,511.38	$12,302.69