Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $2,026.00 / $5,405.00	Facility		$941.00	$2,026.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,989.00 / $10,073.00	Professional		$1,017.00	$1,989.00	$10,073.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,681.94 / $14,868.41 / $19,209.56	Facility		$6,681.94	$14,868.41	$19,209.56
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 $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00