Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,630.00 / $9,691.00	Facility		$923.00	$3,630.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.39 / $534.03 / $712.30	Professional		$361.39	$534.03	$712.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,434.87 / $48,092.37 / $59,156.28	Facility		$38,434.87	$48,092.37	$59,156.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $1,247.65	Professional		$120.00	$345.40	$1,247.65
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 $630.28 / $915.67 / $1,442.28	Professional		$630.28	$915.67	$1,442.28