Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,609.00 / $5,389.00	Facility		$438.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $187.71 / $315.83	Professional		$128.07	$187.71	$315.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,052.04 / $2,788.78 / $3,603.02	Facility		$2,052.04	$2,788.78	$3,603.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.99 / $332.33 / $332.33	Professional		$272.99	$332.33	$332.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.83 / $345.94 / $616.19	Professional		$237.83	$345.94	$616.19
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.68 / $281.07 / $308.58	Professional		$273.68	$281.07	$308.58
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 $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $306.83 / $470.84	Professional		$225.74	$306.83	$470.84