Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Professional		$6,932.50	$6,932.50	$6,932.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Professional		$100.00	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $310.14 / $310.14	Professional		$310.14	$310.14	$310.14