Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,370.32 / $7,943.28	Facility		$891.25	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,819.70	Professional		$549.54	$891.25	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,128.31 / $14,454.40	Facility		$1,122.02	$8,128.31	$14,454.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	AS	$1,318.26	$1,318.26	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,187.76	Professional		$1,288.25	$1,479.11	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,481.54 / $15,135.61	Facility		$7,244.36	$11,481.54	$15,135.61