Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.66 / $6,066.00 / $11,100.08	Facility		$1,295.66	$6,066.00	$11,100.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $752.60 / $1,632.35	Professional		$481.19	$752.60	$1,632.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $918.60 / $5,627.61 / $16,322.00	Facility		$918.60	$5,627.61	$16,322.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $25,403.20 / $25,403.20 / $25,403.20	Facility	52	$25,403.20	$25,403.20	$25,403.20
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $6,350.80 / $6,350.80 / $6,350.80	Facility	53	$6,350.80	$6,350.80	$6,350.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $997.23 / $1,326.42 / $6,756.21	Facility		$997.23	$1,326.42	$6,756.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,604.00 / $13,279.00 / $16,322.00	Facility		$8,604.00	$13,279.00	$16,322.00