Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,135.99 / $5,549.00	Facility		$1,017.00	$3,135.99	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $3,135.99	Professional		$3,135.99	$3,135.99	$3,135.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,952.41 / $4,245.89 / $6,243.98	Professional		$2,952.41	$4,245.89	$6,243.98
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,607.63 / $3,622.10 / $3,838.13	Professional		$3,607.63	$3,622.10	$3,838.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,149.06 / $1,180.95 / $2,500.00	Professional		$1,149.06	$1,180.95	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00