Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,204.28 / $4,604.83 / $8,042.03	Facility		$3,204.28	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.12 / $748.12 / $748.12	Professional		$748.12	$748.12	$748.12
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 $7,413.26 / $11,495.00 / $15,899.59	Facility		$7,413.26	$11,495.00	$15,899.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99