Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,977.00 / $4,778.89 / $7,119.04	Facility		$2,977.00	$4,778.89	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $59.32 / $195.97	Professional		$37.10	$59.32	$195.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $98.01 / $1,199.33	Facility		$57.49	$98.01	$1,199.33
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $910.60 / $910.60 / $910.60	Facility	52	$910.60	$910.60	$910.60
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $227.65 / $227.65 / $227.65	Facility	53	$227.65	$227.65	$227.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $105.89 / $403.05	Facility		$69.00	$105.89	$403.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $3,560.25	Facility		$1,026.00	$1,607.00	$3,560.25