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 $3,329.85 / $4,789.25 / $7,043.02	Professional		$3,329.85	$4,789.25	$7,043.02
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 $4,069.30 / $4,085.42 / $4,328.81	Professional		$4,069.30	$4,085.42	$4,328.81
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