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 $305.26 / $305.26 / $356.36	Professional		$305.26	$305.26	$356.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $150.43 / $433.56	Facility		$85.72	$150.43	$433.56
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