Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.33 / $141.68 / $1,462.30	Facility		$128.33	$141.68	$1,462.30
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 $226.71 / $1,026.00 / $1,966.00	Facility		$226.71	$1,026.00	$1,966.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00