Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,880.00 / $5,430.00	Facility		$1,017.00	$2,880.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,438.12 / $3,520.06 / $5,389.00	Professional		$3,438.12	$3,520.06	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,594.88 / $17,010.84 / $20,924.30	Facility		$13,594.88	$17,010.84	$20,924.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $1,620.31	Professional		$120.00	$345.40	$1,620.31
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 $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.15 / $1,560.72 / $3,432.13	Professional		$1,043.15	$1,560.72	$3,432.13