Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $430.00 / $430.00	Professional		$430.00	$430.00	$430.00
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 $1,019.46 / $1,917.40 / $5,454.00	Facility		$1,019.46	$1,917.40	$5,454.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,562.00 / $3,522.00 / $5,454.00	Facility		$1,562.00	$3,522.00	$5,454.00