Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $426.58	Professional		$316.23	$316.23	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $398.11 / $398.11	Professional		$151.36	$398.11	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $1,096.48	Facility		$316.23	$602.56	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,071.52	Facility		$501.19	$794.33	$1,071.52