Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Professional		$548.86	$548.86	$548.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $551.50 / $696.50	Professional		$345.40	$551.50	$696.50
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $5,092.80	Professional		$4,800.00	$4,800.00	$5,092.80