Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,751.12 / $6,094.85 / $14,026.20	Facility		$4,751.12	$6,094.85	$14,026.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.32 / $2,243.03 / $5,136.95	Professional		$1,421.32	$2,243.03	$5,136.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,885.59 / $3,355.23 / $15,085.17	Facility		$1,885.59	$3,355.23	$15,085.17
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,156.44 / $13,156.44 / $13,156.44	Facility	62	$13,156.44	$13,156.44	$13,156.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,002.00 / $3,355.13 / $4,778.28	Facility		$2,002.00	$3,355.13	$4,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $9,082.00 / $13,476.00	Facility		$1,770.00	$9,082.00	$13,476.00