Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,389.00	Facility		$755.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,476.00 / $7,407.00	Professional		$600.00	$1,476.00	$7,407.00
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