Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,550.00 / $5,150.00	Facility		$1,300.00	$2,550.00	$5,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,300.00 / $1,765.00	Professional		$1,080.00	$1,300.00	$1,765.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.77 / $5,105.62 / $21,928.06	Facility		$682.77	$5,105.62	$21,928.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00