Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $229.09	Professional		$70.79	$70.79	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,000.00 / $1,905.46	Facility		$371.54	$1,000.00	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $125.89	Professional		$107.15	$125.89	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $407.38	Professional		$257.04	$354.81	$407.38
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 $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $190.55	Professional		$131.83	$173.78	$190.55