Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,265.00 / $5,430.00	Facility		$630.00	$2,265.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $339.59 / $707.56	Professional		$209.93	$339.59	$707.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.53 / $5,197.34 / $6,714.81	Facility		$2,666.53	$5,197.34	$6,714.81
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 $1,400.00 / $5,272.00 / $9,441.00	Facility		$1,400.00	$5,272.00	$9,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.85 / $827.21 / $1,450.10	Professional		$547.85	$827.21	$1,450.10