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 $323.29 / $477.70 / $616.89	Professional		$323.29	$477.70	$616.89
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 $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $531.96 / $738.32 / $1,279.90	Professional		$531.96	$738.32	$1,279.90