Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,859.00 / $9,691.00	Facility		$1,159.00	$3,859.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.39 / $5,765.65 / $8,936.75	Professional		$715.39	$5,765.65	$8,936.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,738.91 / $25,644.26 / $33,131.62	Facility		$15,738.91	$25,644.26	$33,131.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $1,180.79	Professional		$120.00	$345.40	$1,180.79
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 $740.42 / $1,137.38 / $2,631.74	Professional		$740.42	$1,137.38	$2,631.74