Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,351.69 / $5,390.00 / $7,943.37	Facility		$3,351.69	$5,390.00	$7,943.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,196.47 / $1,947.24 / $8,460.79	Professional		$1,196.47	$1,947.24	$8,460.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,764.05 / $3,164.03 / $14,242.22	Facility		$1,764.05	$3,164.03	$14,242.22
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $11,796.97 / $11,796.97 / $11,796.97	Facility	62	$11,796.97	$11,796.97	$11,796.97
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,267.00 / $3,411.56 / $6,616.19	Facility		$2,267.00	$3,411.56	$6,616.19
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22