Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,162.28	Professional		$1,737.80	$1,737.80	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,071.52	Professional		$151.36	$1,071.52	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,630.27	Facility		$1,230.27	$1,778.28	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $2,570.40	Facility		$1,122.02	$1,949.84	$2,570.40