Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $40.61 / $132.24	Facility		$26.20	$40.61	$132.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $32.39	Professional		$19.50	$19.50	$32.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.25 / $1,387.14 / $1,753.75	Facility		$1,159.25	$1,387.14	$1,753.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $74.48 / $345.40	Professional		$63.31	$74.48	$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 $1,424.96 / $2,229.35 / $3,645.55	Facility		$1,424.96	$2,229.35	$3,645.55
United Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $45.33 / $77.95	Professional		$32.88	$45.33	$77.95