Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $95.50	Facility		$30.90	$30.90	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $89.13 / $489.78	Professional		$22.39	$89.13	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $89.13 / $575.44	Facility		$31.62	$89.13	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $131.83 / $186.21	Professional		$52.48	$131.83	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $707.95	Facility		$309.03	$537.03	$707.95