Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,570.40 / $6,760.83	Facility		$602.56	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $1,548.82	Professional		$363.08	$630.96	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,162.28 / $10,471.29	Facility		$602.56	$3,162.28	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,122.02	Professional		$758.58	$851.14	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $11,748.98	Facility		$5,128.61	$8,511.38	$11,748.98