Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $63.10	Professional		$36.31	$50.12	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $1,122.02	Facility		$489.78	$933.25	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $204.17	Professional		$131.83	$186.21	$204.17
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