Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.30 / $76.42 / $229.13	Facility		$49.30	$76.42	$229.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $33.65 / $55.99	Professional		$33.65	$33.65	$55.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $119.09 / $345.40	Professional		$100.00	$119.09	$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 $58.80 / $80.39 / $127.27	Professional		$58.80	$80.39	$127.27