Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,090.30 / $6,760.83	Facility		$263.03	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,445.44 / $4,570.88	Professional		$489.78	$1,445.44	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $4,786.30	Facility		$954.99	$1,659.59	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $4,897.79	Facility		$1,148.15	$2,041.74	$4,897.79