Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $9,772.37	Facility		$1,148.15	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,011.87	Professional		$3,162.28	$3,162.28	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $5,888.44	Professional		$2,818.38	$4,365.16	$5,888.44
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 $4,073.80 / $4,073.80 / $4,365.16	Professional		$4,073.80	$4,073.80	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $2,511.89	Professional		$1,148.15	$1,174.90	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10