Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.00 / $537.00 / $537.00	Professional		$537.00	$537.00	$537.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.40 / $1,501.03 / $5,468.33	Facility		$710.40	$1,501.03	$5,468.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $21.55 / $66.88	Professional		$14.92	$21.55	$66.88
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00