Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.35 / $88.35 / $88.35	Facility		$88.35	$88.35	$88.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $137.51 / $184.36	Professional		$88.35	$137.51	$184.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $311.39 / $345.40	Professional		$120.00	$311.39	$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 $161.68 / $220.73 / $378.82	Professional		$161.68	$220.73	$378.82