Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $54.56 / $70.23	Professional		$52.58	$54.56	$70.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $8.44	Facility		$5.00	$5.00	$8.44
United Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $84.10	Professional		$68.73	$68.73	$84.10