Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,570.40 / $6,760.83	Facility		$346.74	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $1,698.24	Professional		$245.47	$363.08	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $2,137.96	Facility		$302.00	$562.34	$2,137.96
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	62	$741.31	$741.31	$741.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	AS	$117.49	$117.49	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $691.83	Professional		$398.11	$562.34	$691.83
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