Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $154.34 / $154.34	Facility		$154.34	$154.34	$154.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $174.71 / $224.00	Professional		$134.28	$174.71	$224.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.47 / $152.08 / $196.20	Facility		$127.47	$152.08	$196.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $377.79 / $433.63	Professional		$345.40	$377.79	$433.63
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00