Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $234.42	Professional		$151.36	$181.97	$234.42
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 $323.59 / $562.34 / $724.44	Professional		$323.59	$562.34	$724.44
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 / $1,513.56	Professional		$30.20	$30.20	$1,513.56