Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $389.05 / $549.54	Facility		$194.98	$389.05	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $251.19 / $831.76	Professional		$30.20	$251.19	$831.76
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 $288.40 / $446.68 / $602.56	Facility		$288.40	$446.68	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $660.69	Facility		$288.40	$501.19	$660.69