Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $2,989.00 / $7,407.00	Facility		$5.71	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.69 / $28.00	Professional		$5.71	$8.69	$28.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $10.14	Professional		$8.33	$8.33	$10.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $9.77 / $18.73	Professional		$7.10	$9.77	$18.73
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.39 / $9.41	Professional		$8.15	$8.39	$9.41
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 Professional Modifier Low / Median / High Price $5.54 / $6.16 / $12.95	Professional		$5.54	$6.16	$12.95