Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,570.40 / $6,760.83	Facility		$181.97	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $389.05	Professional		$114.82	$181.97	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $323.59 / $1,949.84	Facility		$154.88	$323.59	$1,949.84
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	62	$338.84	$338.84	$338.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	AS	$54.95	$54.95	$54.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $489.78	Professional		$229.09	$288.40	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13