Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,128.61 / $7,943.28	Facility		$2,290.87	$5,128.61	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $5,495.41	Professional		$1,288.25	$2,290.87	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $7,413.10	Facility		$1,412.54	$2,570.40	$7,413.10
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	AS	$630.96	$630.96	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $3,715.35	Professional		$2,398.83	$3,090.30	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,413.10 / $11,748.98	Facility		$1,778.28	$7,413.10	$11,748.98