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 $249.35 / $365.36 / $403.32	Professional		$249.35	$365.36	$403.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,545.66 / $15,697.99 / $19,309.40	Facility		$12,545.66	$15,697.99	$19,309.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $358.93 / $610.17 / $893.38	Professional		$358.93	$610.17	$893.38
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 $466.61 / $513.14 / $580.70	Professional		$466.61	$513.14	$580.70
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 $329.14 / $496.59 / $791.91	Professional		$329.14	$496.59	$791.91