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 $221.62 / $327.33 / $435.59	Professional		$221.62	$327.33	$435.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,362.72 / $5,458.95 / $6,714.81	Facility		$4,362.72	$5,458.95	$6,714.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $763.14	Professional		$120.00	$345.40	$763.14
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 $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.67 / $528.77 / $882.21	Professional		$366.67	$528.77	$882.21