Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $1,452.00 / $5,389.00	Facility		$127.09	$1,452.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $214.24 / $228.76	Professional		$185.40	$214.24	$228.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $177.89 / $329.33	Professional		$132.47	$177.89	$329.33
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $176.70 / $192.88	Professional		$174.16	$176.70	$192.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $181.12 / $2,500.00	Professional		$167.84	$181.12	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00