Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Facility		$3,768.95	$3,768.95	$3,768.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $5,033.60	Professional		$3,768.95	$3,768.95	$5,033.60
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 $2,667.60 / $3,768.95 / $6,595.66	Facility		$2,667.60	$3,768.95	$6,595.66