Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,627.00 / $9,691.00	Facility		$923.00	$3,627.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $415.99 / $752.80	Professional		$268.58	$415.99	$752.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,510.81 / $27,235.81 / $35,187.87	Facility		$19,510.81	$27,235.81	$35,187.87
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 $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 $619.09 / $879.61 / $1,542.99	Professional		$619.09	$879.61	$1,542.99