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 $27.58 / $27.58 / $27.58	Professional		$27.58	$27.58	$27.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $500.00 / $500.00	Professional		$150.00	$500.00	$500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $1,050.32 / $1,966.00	Facility		$37.22	$1,050.32	$1,966.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $492.44 / $541.67 / $684.16	Facility		$492.44	$541.67	$684.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00