Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.27 / $388.23 / $1,068.81	Professional		$222.27	$388.23	$1,068.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $535.45 / $1,321.00	Facility		$323.70	$535.45	$1,321.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $868.31 / $868.31 / $868.31	Facility	52	$868.31	$868.31	$868.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $108.54 / $108.54 / $108.54	Facility	AS	$108.54	$108.54	$108.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $362.13 / $535.94 / $742.51	Facility		$362.13	$535.94	$742.51
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