Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,419.00 / $6,446.00	Facility		$930.00	$3,419.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.25 / $1,524.00 / $5,259.20	Professional		$653.25	$1,524.00	$5,259.20
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 $964.06 / $1,858.20 / $5,454.00	Facility		$964.06	$1,858.20	$5,454.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00