Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,907.31 / $5,405.00	Facility		$755.00	$1,907.31	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,907.31 / $2,869.27 / $4,358.52	Professional		$1,907.31	$2,869.27	$4,358.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,313.88 / $2,989.47	Facility		$966.64	$2,313.88	$2,989.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $7,426.94	Professional		$120.00	$345.40	$7,426.94
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 $815.00 / $2,664.00 / $5,026.00	Facility		$815.00	$2,664.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,473.66 / $5,508.21 / $9,363.95	Professional		$3,473.66	$5,508.21	$9,363.95