Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,370.32 / $7,943.28	Facility		$660.69	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,288.25 / $1,288.25	Professional		$151.36	$1,288.25	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,388.44 / $5,888.44	Facility		$1,096.48	$3,388.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57