Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,344.23 / $7,762.47	Facility		$794.33	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $10,000.00	Professional		$1,023.29	$1,380.38	$10,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $6,165.95	Facility		$4,570.88	$5,128.61	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
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 $30.20 / $30.20 / $1,513.56	Professional		$30.20	$30.20	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $8,912.51	Facility		$1,412.54	$4,677.35	$8,912.51