Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.22 / $2,989.00 / $5,580.00	Facility		$987.22	$2,989.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.22 / $1,476.93 / $2,249.82	Professional		$987.22	$1,476.93	$2,249.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,720.73 / $14,868.41 / $19,209.56	Facility		$9,720.73	$14,868.41	$19,209.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$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 $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.75 / $2,844.82 / $4,319.47	Professional		$1,033.75	$2,844.82	$4,319.47