Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,298.62 / $11,100.08	Facility		$4,964.00	$6,298.62	$11,100.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.60 / $1,778.66 / $3,512.20	Professional		$1,132.60	$1,778.66	$3,512.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $2,507.14 / $4,663.00	Facility		$1,540.00	$2,507.14	$4,663.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $4,456.67 / $4,456.67 / $4,456.67	Facility	52	$4,456.67	$4,456.67	$4,456.67
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,114.17 / $1,114.17 / $1,114.17	Facility	53	$1,114.17	$1,114.17	$1,114.17
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $557.08 / $557.08 / $557.08	Facility	AS	$557.08	$557.08	$557.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,826.37 / $2,678.29 / $3,590.31	Facility		$1,826.37	$2,678.29	$3,590.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00