Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,388.44 / $6,760.83	Facility		$602.56	$3,388.44	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $2,187.76	Professional		$489.78	$912.01	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $13,803.84 / $57,543.99	Facility		$870.96	$13,803.84	$57,543.99
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility	AS	$10,715.19	$10,715.19	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,659.59	Professional		$1,096.48	$1,174.90	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $21,877.62 / $81,283.05	Facility		$12,882.50	$21,877.62	$81,283.05