Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.75 / $2,989.00 / $7,407.00	Facility		$388.75	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $398.08 / $589.66	Professional		$172.44	$398.08	$589.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $11,786.12	Professional		$120.00	$345.40	$11,786.12
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 $85.49 / $2,500.00 / $2,500.00	Professional		$85.49	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.55 / $6,517.67 / $13,128.93	Professional		$642.55	$6,517.67	$13,128.93