Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $15,697.34	Facility		$2,218.00	$3,795.64	$15,697.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.52 / $380.52 / $380.52	Professional		$380.52	$380.52	$380.52
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 $374.06 / $789.06 / $2,126.00	Facility		$374.06	$789.06	$2,126.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00