Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,570.40 / $6,760.83	Facility		$891.25	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $2,290.87	Professional		$616.60	$1,047.13	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,025.60 / $24,547.09	Facility		$891.25	$6,025.60	$24,547.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,995.26	Professional		$1,318.26	$1,445.44	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $25,118.86	Facility		$5,495.41	$9,549.93	$25,118.86