Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,989.00 / $5,580.00	Facility		$755.00	$2,989.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $440.95 / $603.12	Professional		$298.39	$440.95	$603.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,908.11 / $33,669.28 / $41,415.08	Facility		$26,908.11	$33,669.28	$41,415.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.43 / $755.53 / $1,109.96	Professional		$444.43	$755.53	$1,109.96
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 $577.76 / $637.67 / $721.47	Professional		$577.76	$637.67	$721.47
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 $3,570.00 / $16,498.00 / $44,061.00	Facility		$3,570.00	$16,498.00	$44,061.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.69 / $733.86 / $1,250.36	Professional		$519.69	$733.86	$1,250.36