Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,438.00 / $6,094.85 / $22,717.22	Facility		$2,438.00	$6,094.85	$22,717.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.99 / $1,952.75 / $4,599.21	Professional		$1,106.99	$1,952.75	$4,599.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,504.26 / $4,084.88 / $22,189.40	Facility		$2,504.26	$4,084.88	$22,189.40
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $16,840.24 / $16,840.24 / $16,840.24	Facility	52	$16,840.24	$16,840.24	$16,840.24
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,156.44 / $13,156.44 / $13,156.44	Facility	62	$13,156.44	$13,156.44	$13,156.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,210.13 / $3,159.81 / $4,048.49	Facility		$2,210.13	$3,159.81	$4,048.49
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00