Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $26,519.47	Facility		$1,630.18	$1,630.18	$26,519.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.18 / $1,630.18 / $11,668.86	Professional		$1,630.18	$1,630.18	$11,668.86
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 $100.00 / $1,630.18 / $19,837.06	Facility		$100.00	$1,630.18	$19,837.06