Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $124.81 / $124.81	Professional		$106.40	$124.81	$124.81
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
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,721.50 / $3,721.50 / $3,721.50	Professional		$3,721.50	$3,721.50	$3,721.50
United Facility/Professional Facility Modifier Low / Median / High Price $314.98 / $720.98 / $1,966.00	Facility		$314.98	$720.98	$1,966.00