Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $7,943.28	Facility		$2,238.72	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $5,623.41	Professional		$1,412.54	$2,344.23	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $7,244.36	Facility		$2,290.87	$3,548.13	$7,244.36
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility	62	$4,265.80	$4,265.80	$4,265.80
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	AS	$676.08	$676.08	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,548.13 / $5,623.41	Professional		$3,090.30	$3,548.13	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10