Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,419.00 / $3,419.00 / $3,419.00	Professional		$3,419.00	$3,419.00	$3,419.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,550.00 / $1,550.00	Professional		$150.00	$1,550.00	$1,550.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,844.64 / $4,102.84 / $6,173.85	Facility		$1,844.64	$4,102.84	$6,173.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.64 / $1,618.80 / $1,986.54	Facility		$1,471.64	$1,618.80	$1,986.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00