Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $3,221.00 / $8,089.00	Facility		$826.00	$3,221.00	$8,089.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $395.63 / $1,005.90	Professional		$244.63	$395.63	$1,005.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,757.55 / $32,055.75 / $41,415.08	Facility		$25,757.55	$32,055.75	$41,415.08
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 $3,570.00 / $16,498.00 / $44,061.00	Facility		$3,570.00	$16,498.00	$44,061.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.93 / $1,305.77 / $2,061.39	Professional		$813.93	$1,305.77	$2,061.39