Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $10,232.93	Facility		$1,862.09	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,398.83 / $6,456.54	Professional		$380.19	$2,398.83	$6,456.54
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 $7,244.36 / $11,481.54 / $15,848.93	Facility		$7,244.36	$11,481.54	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
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