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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,201.78	Professional		$1,201.78	$1,201.78	$1,201.78
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 / $1,775.00 / $2,625.02	Facility		$1,151.00	$1,775.00	$2,625.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,640.00 / $3,560.25	Facility		$1,026.00	$1,640.00	$3,560.25