Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $4,786.30 / $7,079.46	Facility		$331.13	$4,786.30	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $1,348.96	Professional		$112.20	$158.49	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $630.96 / $2,137.96	Facility		$288.40	$630.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $707.95	Professional		$269.15	$512.86	$707.95
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