Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $1,882.00 / $5,405.00	Facility		$941.00	$1,882.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.29 / $1,404.87 / $1,828.85	Professional		$960.29	$1,404.87	$1,828.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $7,259.99 / $9,379.70	Facility		$3,441.42	$7,259.99	$9,379.70
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 $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,774.98 / $2,527.11 / $3,714.28	Professional		$1,774.98	$2,527.11	$3,714.28