Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,576.00 / $5,430.00	Facility		$1,017.00	$2,576.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $2,352.00 / $7,412.00	Professional		$1,017.00	$2,352.00	$7,412.00
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 $1,530.00 / $5,998.00 / $12,241.00	Facility		$1,530.00	$5,998.00	$12,241.00