Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,368.00 / $5,580.00	Facility		$1,129.00	$3,368.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,830.45 / $5,613.43 / $12,155.21	Professional		$3,830.45	$5,613.43	$12,155.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,594.88 / $17,010.84 / $20,924.30	Facility		$13,594.88	$17,010.84	$20,924.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $818.86 / $13,132.13 / $19,330.91	Professional		$818.86	$13,132.13	$19,330.91
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 $788.02 / $897.51 / $14,360.11	Professional		$788.02	$897.51	$14,360.11
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 $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $10,474.28 / $14,566.99 / $26,274.89	Professional		$10,474.28	$14,566.99	$26,274.89