Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $7,079.46	Facility		$1,737.80	$4,786.30	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $3,388.44	Professional		$1,000.00	$1,819.70	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $7,413.10	Facility		$1,047.13	$1,905.46	$7,413.10
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	AS	$489.78	$489.78	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,818.38	Professional		$1,737.80	$2,398.83	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $8,128.31 / $12,302.69	Facility		$1,778.28	$8,128.31	$12,302.69