Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $25.12	Professional		$15.85	$19.05	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $275.42	Facility		$169.82	$199.53	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $87.10	Professional		$63.10	$75.86	$87.10
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 $39.81 / $2,511.89 / $2,511.89	Professional		$39.81	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $43.65 / $48.98	Professional		$16.98	$43.65	$48.98