Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,221.00 / $8,977.00	Facility		$923.00	$3,221.00	$8,977.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $297.92 / $412.72	Professional		$201.82	$297.92	$412.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.52 / $882.95 / $1,140.74	Facility		$453.52	$882.95	$1,140.74
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 $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.51 / $488.35 / $845.73	Professional		$351.51	$488.35	$845.73