Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $128.82 / $323.59	Facility		$91.20	$128.82	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $426.58 / $524.81	Professional		$4.68	$426.58	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $144.54	Facility		$91.20	$91.20	$144.54