Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $196.15 / $4,000.00	Facility		$196.15	$196.15	$4,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $93.33 / $120.06	Professional		$91.66	$93.33	$120.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.55 / $417.55 / $503.25	Professional		$417.55	$417.55	$503.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $93.33 / $120.06	Facility		$91.66	$93.33	$120.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00