Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,274.00 / $9,691.00	Facility		$923.00	$3,274.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.80 / $936.90 / $1,485.99	Professional		$622.80	$936.90	$1,485.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,104.85 / $8,142.43 / $10,519.78	Facility		$5,104.85	$8,142.43	$10,519.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$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 $1,400.00 / $5,272.00 / $9,762.00	Facility		$1,400.00	$5,272.00	$9,762.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.97 / $2,004.94 / $3,132.72	Professional		$1,317.97	$2,004.94	$3,132.72