Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $478.63	Professional		$371.54	$426.58	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,819.70 / $1,819.70	Professional		$151.36	$1,819.70	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $1,071.52	Facility		$389.05	$660.69	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,071.52	Facility		$501.19	$794.33	$1,071.52