Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $22,908.68	Facility		$1,949.84	$5,370.32	$22,908.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,089.30 / $5,754.40	Professional		$912.01	$2,089.30	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,754.40 / $25,703.96	Facility		$2,511.89	$5,754.40	$25,703.96
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility	52	$16,982.44	$16,982.44	$16,982.44
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility	62	$13,182.57	$13,182.57	$13,182.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	AS	$2,089.30	$2,089.30	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $6,606.93	Professional		$2,630.27	$3,388.44	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $15,135.61 / $28,183.83	Facility		$9,549.93	$15,135.61	$28,183.83