Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $222.83 / $765.52	Facility		$113.69	$222.83	$765.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $173.14 / $250.88	Professional		$113.69	$173.14	$250.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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
United Facility/Professional Professional Modifier Low / Median / High Price $187.39 / $230.88 / $368.47	Professional		$187.39	$230.88	$368.47