Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.28 / $957.92 / $2,761.00	Facility		$252.28	$957.92	$2,761.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $501.58 / $1,470.00 / $3,899.00	Facility	25	$501.58	$1,470.00	$3,899.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $156.22 / $193.58 / $853.16	Professional	25	$156.22	$193.58	$853.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $253.37 / $746.92	Professional		$164.50	$253.37	$746.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $297.20 / $410.24	Facility		$156.22	$297.20	$410.24
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $470.08 / $489.58 / $1,116.04	Facility	25	$470.08	$489.58	$1,116.04
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $225.69 / $353.76 / $428.52	Professional	25	$225.69	$353.76	$428.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $326.67 / $438.34	Facility		$252.00	$326.67	$438.34