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 $431.50 / $431.50 / $438.21	Professional		$431.50	$431.50	$438.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $176.10 / $619.77	Facility		$57.62	$176.10	$619.77
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