Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.45 / $3,259.25 / $9,992.40	Facility		$933.45	$3,259.25	$9,992.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $2,364.41 / $4,568.00	Professional		$152.50	$2,364.41	$4,568.00
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 / $10,061.00 / $15,899.59	Facility		$7,221.00	$10,061.00	$15,899.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,004.79 / $4,004.79 / $4,004.79	Professional		$4,004.79	$4,004.79	$4,004.79
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