Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $323.59	Professional		$204.17	$245.47	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,786.30 / $5,754.40	Facility		$4,265.80	$4,786.30	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $831.76 / $1,071.52	Professional		$199.53	$831.76	$1,071.52
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 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81