Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,290.87 / $6,456.54	Facility		$199.53	$2,290.87	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $575.44	Professional		$107.15	$165.96	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $2,951.21	Facility		$144.54	$288.40	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $371.54	Professional		$213.80	$288.40	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Facility		$1,621.81	$2,884.03	$4,897.79