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 $294.44 / $434.82 / $573.35	Professional		$294.44	$434.82	$573.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,921.10 / $12,413.97 / $15,269.87	Facility		$9,921.10	$12,413.97	$15,269.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $1,004.28	Professional		$120.00	$345.40	$1,004.28
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 / $8,691.00 / $21,718.08	Facility		$2,276.00	$8,691.00	$21,718.08
United Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $669.69 / $1,160.94	Professional		$488.92	$669.69	$1,160.94