Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $162.18	Professional		$85.11	$128.82	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $2,691.53	Facility		$933.25	$2,238.72	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $363.08	Professional		$151.36	$309.03	$363.08
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