Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,370.32 / $7,943.28	Facility		$1,698.24	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $3,388.44	Professional		$933.25	$1,584.89	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $3,388.44	Facility		$1,000.00	$1,819.70	$3,388.44
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	52	$3,801.89	$3,801.89	$3,801.89
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	AS	$478.63	$478.63	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,754.23	Professional		$1,584.89	$2,290.87	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10