Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.03 / $3,576.15 / $7,119.04	Facility		$1,879.03	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $1,434.00 / $1,718.00	Professional		$115.33	$1,434.00	$1,718.00
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 $1,321.00 / $2,341.42 / $5,454.00	Facility		$1,321.00	$2,341.42	$5,454.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,482.00 / $5,454.00	Facility		$1,321.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $84.10	Professional		$68.73	$68.73	$84.10