Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.34 / $388.71 / $1,657.50	Professional		$243.34	$388.71	$1,657.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.74 / $497.25 / $1,775.00	Facility		$300.74	$497.25	$1,775.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $735.14 / $735.14 / $735.14	Facility	62	$735.14	$735.14	$735.14
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $117.62 / $117.62 / $117.62	Facility	AS	$117.62	$117.62	$117.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $400.96 / $565.49 / $794.64	Facility		$400.96	$565.49	$794.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00