Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Facility		$396.00	$396.00	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $472.03	Professional		$396.00	$396.00	$472.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.61 / $346.19 / $1,272.28	Professional		$245.61	$346.19	$1,272.28
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 $290.26 / $294.49 / $321.45	Professional		$290.26	$294.49	$321.45