Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,368.00 / $5,393.00	Facility		$813.00	$2,368.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $2,352.00 / $7,412.00	Professional		$1,017.00	$2,352.00	$7,412.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,388.71 / $5,235.91 / $6,754.79	Facility		$4,388.71	$5,235.91	$6,754.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$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 $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00