Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,981.07 / $6,760.83	Facility		$416.87	$3,981.07	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,288.25	Professional		$338.84	$562.34	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,168.69 / $13,182.57	Facility		$575.44	$4,168.69	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,047.13	Professional		$691.83	$758.58	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $13,182.57	Facility		$6,606.93	$10,000.00	$13,182.57