Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $5,370.32 / $7,943.28	Facility		$575.44	$5,370.32	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,819.70	Professional		$323.59	$602.56	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $7,244.36	Facility		$346.74	$660.69	$7,244.36
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	62	$1,000.00	$1,000.00	$1,000.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	AS	$158.49	$158.49	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $933.25	Professional		$645.65	$794.33	$933.25
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