Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.74 / $2,989.00 / $7,407.00	Facility		$156.74	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $235.74 / $860.96	Professional		$156.74	$235.74	$860.96
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 / $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 $1,300.00 / $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 $669.12 / $1,055.95 / $1,601.50	Professional		$669.12	$1,055.95	$1,601.50