Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.87 / $185.63 / $264.62	Facility		$111.87	$185.63	$264.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $197.86 / $197.86	Professional		$45.32	$197.86	$197.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $79.30 / $197.86	Facility		$77.05	$79.30	$197.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $111.22 / $197.86	Professional		$45.32	$111.22	$197.86