Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.52 / $2,989.00 / $5,549.00	Facility		$173.52	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $274.70 / $570.75	Professional		$173.52	$274.70	$570.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.06 / $1,454.18 / $2,950.16	Facility		$1,033.06	$1,454.18	$2,950.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
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 $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.39 / $733.35 / $1,154.65	Professional		$480.39	$733.35	$1,154.65