Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $5,248.07 / $7,943.28	Facility		$316.23	$5,248.07	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $1,148.15	Professional		$186.21	$309.03	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $1,949.84	Facility		$316.23	$489.78	$1,949.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	AS	$104.71	$104.71	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $630.96	Professional		$416.87	$489.78	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13