Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $397.77 / $496.81	Professional		$324.00	$397.77	$496.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $661.53 / $943.04	Facility		$252.64	$661.53	$943.04