Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.76 / $1,388.76 / $1,388.76	Facility		$1,388.76	$1,388.76	$1,388.76
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.00 / $1,051.00	Facility		$100.00	$125.00	$1,051.00