Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.10 / $1,882.00 / $5,405.00	Facility		$798.10	$1,882.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.10 / $1,169.73 / $1,521.26	Professional		$798.10	$1,169.73	$1,521.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $7,259.99 / $9,379.70	Facility		$3,441.42	$7,259.99	$9,379.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,525.24 / $2,149.83 / $3,638.16	Professional		$1,525.24	$2,149.83	$3,638.16