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 $17,480.00 / $34,942.72 / $73,401.28	Facility		$17,480.00	$34,942.72	$73,401.28
United Facility/Professional Facility Modifier Low / Median / High Price $16,167.00 / $18,245.00 / $28,931.00	Facility		$16,167.00	$18,245.00	$28,931.00