Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,786.30 / $7,079.46	Facility		$1,819.70	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,168.69 / $4,168.69	Professional		$151.36	$4,168.69	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $13,803.84	Facility		$2,818.38	$7,413.10	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $14,125.38	Facility		$4,365.16	$7,079.46	$14,125.38