Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,265.00 / $5,405.00	Facility		$630.00	$2,265.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.12 / $714.09 / $900.13	Professional		$488.12	$714.09	$900.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.53 / $5,753.49 / $7,422.51	Facility		$4,822.53	$5,753.49	$7,422.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.18 / $1,181.19 / $1,859.72	Professional		$862.18	$1,181.19	$1,859.72