Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,407.00	Facility		$1,017.00	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.97 / $1,676.62 / $3,006.37	Professional		$1,143.97	$1,676.62	$3,006.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,811.57 / $4,769.29 / $5,866.50	Facility		$3,811.57	$4,769.29	$5,866.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,932.00 / $2,940.81 / $4,286.74	Professional		$1,932.00	$2,940.81	$4,286.74