Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $21.24 / $21.24	Facility		$21.24	$21.24	$21.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $21.24 / $56.00	Professional		$21.24	$21.24	$56.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $119.37 / $154.33	Professional		$21.83	$119.37	$154.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $21.24 / $80.00	Facility		$21.24	$21.24	$80.00