Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,374.87	Facility		$2,374.87	$2,374.87	$2,374.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,497.23	Professional		$2,374.87	$2,374.87	$2,497.23
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 $100.00 / $2,374.87 / $4,156.02	Facility		$100.00	$2,374.87	$4,156.02