Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.00 / $1,201.00 / $1,201.00	Professional		$1,201.00	$1,201.00	$1,201.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,201.00 / $1,201.00 / $1,201.00	Facility		$1,201.00	$1,201.00	$1,201.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.18 / $1,283.18 / $1,901.00	Facility		$1,283.18	$1,283.18	$1,901.00