Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $7,943.28	Facility		$2,511.89	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $5,248.07	Professional		$1,548.82	$2,754.23	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $7,244.36	Facility		$2,511.89	$4,073.80	$7,244.36
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	62	$4,677.35	$4,677.35	$4,677.35
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	AS	$758.58	$758.58	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,309.57	Professional		$3,630.78	$4,265.80	$6,309.57
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