Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $2,570.40 / $6,456.54	Facility		$147.91	$2,570.40	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $851.14	Professional		$165.96	$338.84	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $1,318.26	Facility		$186.21	$338.84	$1,318.26
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	AS	$85.11	$85.11	$85.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $501.19	Professional		$323.59	$416.87	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $3,548.13	Facility		$1,023.29	$1,621.81	$3,548.13