Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,500.00 / $9,282.00	Facility		$1,017.00	$4,500.00	$9,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $223.70 / $361.76	Professional		$55.87	$223.70	$361.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,959.38 / $11,819.05 / $15,269.87	Facility		$5,959.38	$11,819.05	$15,269.87
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 $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $81.58 / $149.93	Professional		$53.29	$81.58	$149.93