Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $272.37 / $334.39 / $417.65	Professional		$272.37	$334.39	$417.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $284.95 / $406.21	Facility		$195.83	$284.95	$406.21