Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,630.00 / $9,691.00	Facility		$923.00	$3,630.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $335.96 / $445.22	Professional		$229.18	$335.96	$445.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,908.11 / $32,055.75 / $41,415.08	Facility		$26,908.11	$32,055.75	$41,415.08
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 $4,233.00 / $21,933.00 / $56,379.00	Facility		$4,233.00	$21,933.00	$56,379.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.30 / $520.72 / $912.60	Professional		$379.30	$520.72	$912.60