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 $120.35 / $176.53 / $233.75	Professional		$120.35	$176.53	$233.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,930.15 / $11,396.00 / $26,510.50	Facility		$1,930.15	$11,396.00	$26,510.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $409.42	Professional		$120.00	$345.40	$409.42
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 $815.00 / $2,309.00 / $4,780.00	Facility		$815.00	$2,309.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $298.77 / $421.50	Professional		$196.69	$298.77	$421.50