Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $28.00 / $28.00	Facility		$28.00	$28.00	$28.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18,170.00 / $40,290.00	Facility		$10.00	$18,170.00	$40,290.00