Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.16 / $4,964.00 / $20,828.61	Facility		$1,193.16	$4,964.00	$20,828.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $627.98 / $627.98	Professional		$627.98	$627.98	$627.98
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 $967.09 / $1,607.00 / $23,884.54	Facility		$967.09	$1,607.00	$23,884.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $23,884.54	Facility		$1,204.00	$1,607.00	$23,884.54