Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Facility		$206.72	$206.72	$206.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00