Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.20 / $172.20 / $172.20	Facility		$172.20	$172.20	$172.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.20 / $66.75	Professional		$43.20	$43.20	$66.75
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 $77.42 / $119.84 / $162.69	Facility		$77.42	$119.84	$162.69