Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,882.00 / $5,405.00	Facility		$600.00	$1,882.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.23 / $328.31 / $544.08	Professional		$218.23	$328.31	$544.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.96 / $2,612.35 / $3,375.08	Facility		$1,338.96	$2,612.35	$3,375.08
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 $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.40 / $687.98 / $1,114.92	Professional		$449.40	$687.98	$1,114.92