Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.86 / $2,989.00 / $5,549.00	Facility		$270.86	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.86 / $410.23 / $499.98	Professional		$270.86	$410.23	$499.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,868.39 / $4,037.67 / $8,191.39	Facility		$2,868.39	$4,037.67	$8,191.39
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 $448.11 / $643.96 / $1,029.14	Professional		$448.11	$643.96	$1,029.14