Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.30 / $279.30 / $279.30	Facility		$279.30	$279.30	$279.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.26 / $376.11 / $485.22	Facility		$315.26	$376.11	$485.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $392.19	Professional		$100.00	$200.00	$392.19
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 $219.31 / $219.31 / $220.94	Facility		$219.31	$219.31	$220.94
United Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $232.65 / $325.70	Professional		$161.22	$232.65	$325.70