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 $117.70 / $172.53 / $744.80	Professional		$117.70	$172.53	$744.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,314.35 / $9,145.75 / $11,816.04	Facility		$6,314.35	$9,145.75	$11,816.04
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 $1,400.00 / $5,606.00 / $11,479.00	Facility		$1,400.00	$5,606.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $313.82 / $470.84	Professional		$163.05	$313.82	$470.84