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 $25,707.16 / $30,625.06 / $39,566.68	Facility		$25,707.16	$30,625.06	$39,566.68
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 $1,958.00 / $8,847.00 / $24,003.00	Facility		$1,958.00	$8,847.00	$24,003.00