Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $2,989.00 / $7,407.00	Facility		$39.04	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $39.89 / $58.66	Professional		$13.60	$39.89	$58.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,432.81 / $6,690.95 / $8,644.52	Facility		$3,432.81	$6,690.95	$8,644.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $150.00 / $345.40	Professional		$54.29	$150.00	$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 $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $65.51 / $128.49	Professional		$28.29	$65.51	$128.49