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 $242.75 / $357.96 / $495.77	Professional		$242.75	$357.96	$495.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,676.65 / $32,055.75 / $41,415.08	Facility		$25,676.65	$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 $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 $422.25 / $622.07 / $1,015.93	Professional		$422.25	$622.07	$1,015.93