Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Professional		$51.12	$51.12	$51.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $46.76 / $150.00	Professional		$46.76	$46.76	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $115.30 / $185.19	Facility		$78.72	$115.30	$185.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $115.30 / $167.21	Facility		$97.56	$115.30	$167.21