Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.35 / $249.35 / $249.35	Facility		$249.35	$249.35	$249.35
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 $417.20 / $847.20 / $1,223.61	Facility		$417.20	$847.20	$1,223.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $379.33 / $522.39	Facility		$325.14	$379.33	$522.39