Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $3,795.64 / $12,765.09	Facility		$754.00	$3,795.64	$12,765.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $143.55 / $371.98	Professional		$81.34	$143.55	$371.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.09 / $509.01 / $4,730.41	Facility		$199.09	$509.01	$4,730.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $199.09 / $264.37	Facility		$162.72	$199.09	$264.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00