Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $204.17 / $588.84	Facility		$25.70	$204.17	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $125.89 / $524.81	Professional		$38.02	$125.89	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $478.63	Facility		$229.09	$380.19	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $426.58	Facility		$186.21	$323.59	$426.58