Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,511.89 / $6,760.83	Facility		$93.33	$2,511.89	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $154.88 / $263.03	Professional		$58.88	$154.88	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $302.00 / $4,677.35	Facility		$144.54	$302.00	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $302.00	Professional		$144.54	$245.47	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,128.61	Facility		$1,819.70	$3,890.45	$5,128.61