Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.65 / $1,086.65 / $1,103.53	Professional		$1,086.65	$1,086.65	$1,103.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $474.42 / $1,736.87	Facility		$142.13	$474.42	$1,736.87
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