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 $147.12 / $217.08 / $281.00	Professional		$147.12	$217.08	$281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,362.72 / $5,458.95 / $6,714.81	Facility		$4,362.72	$5,458.95	$6,714.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $381.04 / $555.88	Professional		$261.48	$381.04	$555.88
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 $295.32 / $319.58 / $361.32	Professional		$295.32	$319.58	$361.32
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 $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $335.74 / $607.41	Professional		$254.84	$335.74	$607.41