Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $57.60 / $72.00	Professional		$47.20	$57.60	$72.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Professional		$162.00	$162.00	$162.00