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 $2,747.50 / $2,747.50 / $3,391.00	Professional		$2,747.50	$2,747.50	$3,391.00
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 $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 $1,806.78 / $1,806.78 / $1,806.78	Professional		$1,806.78	$1,806.78	$1,806.78
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