Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.27 / $1,641.45 / $5,212.54	Facility		$1,609.27	$1,641.45	$5,212.54
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 $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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