Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $1,917.60 / $1,917.60	Professional		$1,917.60	$1,917.60	$1,917.60
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 $7,221.00 / $10,160.00 / $15,899.59	Facility		$7,221.00	$10,160.00	$15,899.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,559.49 / $6,559.49 / $6,559.49	Professional		$6,559.49	$6,559.49	$6,559.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00