Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,570.40 / $6,760.83	Facility		$309.03	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $1,288.25	Professional		$213.80	$323.59	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $2,137.96	Facility		$223.87	$446.68	$2,137.96
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	62	$645.65	$645.65	$645.65
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 $354.81 / $489.78 / $616.60	Professional		$354.81	$489.78	$616.60
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