Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $370.38 / $370.38 / $437.14	Professional		$370.38	$370.38	$437.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $167.72 / $321.61	Facility		$82.84	$167.72	$321.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00