Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $634.40 / $1,559.20	Professional		$596.79	$634.40	$1,559.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.57 / $197.48 / $264.62	Facility		$127.57	$197.48	$264.62