Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,592.00 / $7,592.00 / $7,592.00	Professional		$7,592.00	$7,592.00	$7,592.00
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 $2,126.00 / $5,847.00 / $7,407.10	Facility		$2,126.00	$5,847.00	$7,407.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00