Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,989.00 / $5,580.00	Facility		$1,129.00	$2,989.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.20 / $1,826.31 / $3,179.08	Professional		$1,246.20	$1,826.31	$3,179.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,016.78 / $5,468.65 / $7,065.34	Facility		$3,016.78	$5,468.65	$7,065.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $790.61 / $1,355.24	Professional		$537.25	$790.61	$1,355.24
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $642.37 / $689.81 / $783.03	Professional		$642.37	$689.81	$783.03
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 $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,541.90 / $3,780.80 / $6,711.98	Professional		$2,541.90	$3,780.80	$6,711.98