Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.77 / $6,853.60 / $15,261.76	Facility		$1,500.77	$6,853.60	$15,261.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,009.64 / $7,907.98 / $11,797.10	Facility	50	$5,009.64	$7,907.98	$11,797.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $604.80 / $1,058.75 / $1,836.31	Professional		$604.80	$1,058.75	$1,836.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $972.44 / $1,757.05 / $14,525.55	Facility		$972.44	$1,757.05	$14,525.55
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,805.14 / $4,199.03 / $10,312.02	Facility	50	$3,805.14	$4,199.03	$10,312.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $1,940.52 / $5,275.65	Facility		$1,117.00	$1,940.52	$5,275.65
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22