Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.33 / $563.16 / $1,932.02	Facility		$287.33	$563.16	$1,932.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $437.37 / $632.99	Professional		$287.33	$437.37	$632.99
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 Facility Modifier Low / Median / High Price $592.49 / $592.49 / $812.86	Facility		$592.49	$592.49	$812.86
United Facility/Professional Professional Modifier Low / Median / High Price $474.13 / $578.01 / $930.30	Professional		$474.13	$578.01	$930.30