Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,912.51	Facility		$1,023.29	$3,801.89	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $316.23	Professional		$162.18	$251.19	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,884.03 / $7,413.10	Facility		$562.34	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $588.84	Professional		$281.84	$371.54	$588.84