Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $707.95	Professional		$346.74	$436.52	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $933.25 / $1,122.02	Facility		$831.76	$933.25	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $2,238.72 / $2,818.38	Professional		$199.53	$2,238.72	$2,818.38
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20