Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $7,943.28	Facility		$2,187.76	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $5,754.40	Professional		$1,202.26	$2,238.72	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $3,715.35	Facility		$1,288.25	$2,238.72	$3,715.35
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	AS	$616.60	$616.60	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $3,548.13	Professional		$2,041.74	$3,019.95	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10