Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.00 / $6,955.00 / $11,668.15	Facility		$1,632.00	$6,955.00	$11,668.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $673.30 / $673.30	Professional		$673.30	$673.30	$673.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $15,000.00 / $15,000.00	Professional		$150.00	$15,000.00	$15,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,137.88 / $16,293.00 / $30,268.98	Facility		$1,137.88	$16,293.00	$30,268.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,593.39 / $12,358.96 / $14,124.52	Facility		$10,593.39	$12,358.96	$14,124.52
United Facility/Professional Facility Modifier Low / Median / High Price $10,398.00 / $15,622.00 / $23,884.54	Facility		$10,398.00	$15,622.00	$23,884.54