Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,165.95 / $10,232.93	Facility		$812.83	$6,165.95	$10,232.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $2,398.83	Professional		$512.86	$891.25	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,677.35 / $15,848.93	Facility		$954.99	$4,677.35	$15,848.93
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	AS	$1,548.82	$1,548.82	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,905.46	Professional		$1,122.02	$1,258.93	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $11,481.54 / $15,848.93	Facility		$7,943.28	$11,481.54	$15,848.93