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 $616.36 / $4,152.79 / $6,247.15	Professional		$616.36	$4,152.79	$6,247.15
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 / $785.93	Professional		$120.00	$345.40	$785.93
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 / $6,841.20	Professional		$1,500.00	$2,500.00	$6,841.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $9,590.00 / $21,651.00	Facility		$2,276.00	$9,590.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $1,014.75 / $2,533.16	Professional		$495.07	$1,014.75	$2,533.16