Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,463.36 / $7,119.04	Facility		$3,496.00	$5,463.36	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.89 / $296.14 / $783.88	Professional		$198.89	$296.14	$783.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.87 / $530.55 / $10,214.08	Facility		$287.87	$530.55	$10,214.08
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $18,115.80 / $18,115.80 / $18,115.80	Facility	52	$18,115.80	$18,115.80	$18,115.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $397.56 / $665.33 / $7,728.44	Facility		$397.56	$665.33	$7,728.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00