Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $1,207.00 / $1,207.00	Facility		$1,207.00	$1,207.00	$1,207.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $182.46 / $574.97	Professional		$104.35	$182.46	$574.97
United Facility/Professional Facility Modifier Low / Median / High Price $849.00 / $1,080.00 / $4,103.00	Facility		$849.00	$1,080.00	$4,103.00