Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.67 / $95.59 / $285.17	Facility		$61.67	$95.59	$285.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $69.45	Professional		$41.71	$41.71	$69.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $148.76 / $345.40	Professional		$120.00	$148.76	$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 $75.90 / $101.84 / $158.99	Professional		$75.90	$101.84	$158.99