Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $139.76 / $174.56	Professional		$113.84	$139.76	$174.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $616.75 / $879.20	Facility		$88.76	$616.75	$879.20