Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $1,609.27	Facility		$1,609.27	$1,609.27	$1,609.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $2,114.64	Professional		$1,609.27	$1,609.27	$2,114.64
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 $100.00 / $1,609.27 / $2,880.59	Facility		$100.00	$1,609.27	$2,880.59