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 $79.20 / $115.99 / $168.50	Professional		$79.20	$115.99	$168.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.17 / $953.21 / $1,231.53	Facility		$431.17	$953.21	$1,231.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $37.03 / $73.45	Professional		$27.73	$37.03	$73.45
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 $31.02 / $32.77 / $35.65	Professional		$31.02	$32.77	$35.65
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 $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $205.85 / $334.20	Professional		$145.79	$205.85	$334.20