Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.76 / $392.69 / $550.04	Facility		$370.76	$392.69	$550.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $62.50 / $652.00	Professional		$25.00	$62.50	$652.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.94 / $445.68 / $605.08	Facility		$287.94	$445.68	$605.08