Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,370.32 / $7,943.28	Facility		$1,380.38	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,884.03	Professional		$776.25	$1,412.54	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,737.80 / $6,025.60	Facility		$851.14	$1,737.80	$6,025.60
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	AS	$389.05	$389.05	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,290.87	Professional		$1,412.54	$1,905.46	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $8,317.64	Facility		$2,691.53	$5,754.40	$8,317.64