Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $151.36	Professional		$50.12	$50.12	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $109.65 / $162.18	Facility		$0.55	$109.65	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $288.40	Facility		$125.89	$218.78	$288.40