Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,842.00 / $5,389.00	Facility		$735.00	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
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
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00