Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $5,389.00 / $9,691.00	Facility		$1,144.00	$5,389.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.03 / $757.85 / $1,098.83	Professional		$513.03	$757.85	$1,098.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,000.00 / $45,787.63 / $59,156.28	Facility		$30,000.00	$45,787.63	$59,156.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $3,570.00 / $16,498.00 / $44,061.00	Facility		$3,570.00	$16,498.00	$44,061.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.84 / $1,364.78 / $2,373.82	Professional		$958.84	$1,364.78	$2,373.82