Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,446.00 / $7,119.04	Facility		$4,964.00	$6,446.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.71 / $238.71 / $238.71	Professional		$238.71	$238.71	$238.71
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 $336.48 / $1,026.00 / $1,966.00	Facility		$336.48	$1,026.00	$1,966.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00