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 / $10,073.00	Professional		$1,017.00	$2,352.00	$10,073.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,000.00 / $43,519.80 / $56,226.31	Facility		$30,000.00	$43,519.80	$56,226.31
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 $3,035.00 / $11,750.00 / $42,495.00	Facility		$3,035.00	$11,750.00	$42,495.00