Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,235.94 / $9,772.37	Facility		$630.96	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $489.78	Professional		$275.42	$426.58	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $8,128.31	Facility		$2,818.38	$4,265.80	$8,128.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $1,513.56 / $2,511.89 / $2,511.89	Professional		$1,513.56	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $7,413.10	Facility		$562.34	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $933.25	Professional		$426.58	$588.84	$933.25