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 $259.33 / $382.76 / $503.47	Professional		$259.33	$382.76	$503.47
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 / $881.87	Professional		$120.00	$345.40	$881.87
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 $429.32 / $610.99 / $1,019.40	Professional		$429.32	$610.99	$1,019.40