Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.94 / $2,563.00 / $6,298.62	Facility		$762.94	$2,563.00	$6,298.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $278.08 / $434.90 / $1,410.88	Professional		$278.08	$434.90	$1,410.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.73 / $1,026.00 / $7,627.89	Facility		$480.73	$1,026.00	$7,627.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $532.70 / $798.42 / $1,068.01	Facility		$532.70	$798.42	$1,068.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $1,775.00 / $28,134.95	Facility		$1,341.00	$1,775.00	$28,134.95