Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
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 $1,151.00 / $1,623.00 / $24,797.23	Facility		$1,151.00	$1,623.00	$24,797.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,623.00 / $23,884.54	Facility		$1,151.00	$1,623.00	$23,884.54