Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,120.10 / $5,120.10 / $5,120.10	Professional		$5,120.10	$5,120.10	$5,120.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $5,147.33 / $6,500.67	Professional		$345.40	$5,147.33	$6,500.67
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