Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.43 / $2,563.00 / $6,446.00	Facility		$1,609.43	$2,563.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $74.00	Professional		$74.00	$74.00	$74.00
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 $633.49 / $1,191.38 / $2,126.00	Facility		$633.49	$1,191.38	$2,126.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00