Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,468.00 / $8,089.00	Facility		$1,017.00	$3,468.00	$8,089.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.00 / $5,389.00 / $10,073.00	Professional		$1,129.00	$5,389.00	$10,073.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00