Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.06 / $2,989.00 / $7,407.00	Facility		$198.06	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $290.44 / $405.00	Professional		$198.06	$290.44	$405.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $468.31 / $795.55	Professional		$324.83	$468.31	$795.55