Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $138.01 / $172.37	Professional		$112.41	$138.01	$172.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $700.00 / $1,155.00	Facility		$103.86	$700.00	$1,155.00