Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,290.87 / $6,456.54	Facility		$223.87	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $645.65 / $1,548.82	Professional	50	$199.53	$645.65	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $309.03 / $1,148.15	Professional		$112.20	$309.03	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $457.09 / $1,202.26	Facility		$199.53	$457.09	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $630.96	Professional		$263.03	$524.81	$630.96
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