Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $11,220.18	Facility		$3,715.35	$5,370.32	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $3,715.35 / $8,511.38	Professional		$169.82	$3,715.35	$8,511.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $15,848.93	Facility		$7,413.10	$11,748.98	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,332.54 / $15,848.93	Facility		$4,168.69	$9,332.54	$15,848.93