Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $2,989.00 / $7,407.00	Facility		$102.23	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $104.61 / $158.26	Professional		$84.00	$104.61	$158.26
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 $120.00 / $316.12 / $345.40	Professional		$120.00	$316.12	$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 $151.26 / $219.59 / $353.87	Professional		$151.26	$219.59	$353.87