Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,128.61 / $7,943.28	Facility		$1,096.48	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,089.30	Professional		$1,096.48	$1,096.48	$2,089.30
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 $1,096.48 / $1,862.09 / $14,454.40	Facility		$1,096.48	$1,862.09	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
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