Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,609.00 / $5,389.00	Facility		$438.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $49.92 / $64.54	Professional		$39.42	$49.92	$64.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $193.35 / $237.83	Facility		$154.52	$193.35	$237.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $150.00 / $345.40	Professional		$42.77	$150.00	$345.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $28.41 / $56.60	Professional		$19.28	$28.41	$56.60