Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Facility		$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $776.64	Professional		$47.06	$47.06	$776.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $49.88 / $187.95	Facility		$47.06	$49.88	$187.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.11 / $440.11 / $440.11	Professional		$440.11	$440.11	$440.11
United Facility/Professional Professional Modifier Low / Median / High Price $440.11 / $440.11 / $440.11	Professional		$440.11	$440.11	$440.11