Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.33 / $361.97 / $1,317.12	Professional		$241.33	$361.97	$1,317.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $648.61 / $3,590.15	Facility		$389.73	$648.61	$3,590.15
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,722.36 / $2,722.36 / $2,722.36	Facility	52	$2,722.36	$2,722.36	$2,722.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $680.59 / $680.59 / $680.59	Facility	53	$680.59	$680.59	$680.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $459.32 / $772.68 / $1,193.67	Facility		$459.32	$772.68	$1,193.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00