Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.50 / $124.00 / $159.62	Professional		$119.50	$124.00	$159.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $13.60	Facility		$8.00	$8.00	$13.60
United Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $84.10	Professional		$68.73	$68.73	$84.10