Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $181.97 / $4,677.35	Facility		$79.43	$181.97	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $234.42	Professional		$72.44	$87.10	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,995.26 / $2,691.53	Facility		$851.14	$1,995.26	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $158.49	Professional		$93.33	$117.49	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $537.03	Professional		$91.20	$138.04	$537.03
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 $97.72 / $100.00 / $107.15	Professional		$97.72	$100.00	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $173.78	Professional		$77.62	$104.71	$173.78