Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,762.47 / $10,471.29	Facility		$977.24	$7,762.47	$10,471.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,380.38 / $3,467.37	Professional		$660.69	$1,380.38	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $27,542.29	Facility		$1,380.38	$7,413.10	$27,542.29
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility	52	$20,892.96	$20,892.96	$20,892.96
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	AS	$2,630.27	$2,630.27	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,818.38	Professional		$1,445.44	$1,621.81	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $28,183.83	Facility		$8,511.38	$13,489.63	$28,183.83