Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $6,298.62 / $12,885.00	Facility		$3,496.00	$6,298.62	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,014.00 / $4,014.00 / $4,014.00	Professional		$4,014.00	$4,014.00	$4,014.00
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 $13,990.00 / $22,236.52 / $46,710.40	Facility		$13,990.00	$22,236.52	$46,710.40
United Facility/Professional Facility Modifier Low / Median / High Price $12,855.00 / $16,742.00 / $21,923.00	Facility		$12,855.00	$16,742.00	$21,923.00