Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $9,772.37	Facility		$1,148.15	$5,128.61	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $10,471.29	Professional		$4,786.30	$6,025.60	$10,471.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $57,543.99 / $109,647.82	Facility		$21,379.62	$57,543.99	$109,647.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,244.36 / $8,317.64	Professional		$6,025.60	$7,244.36	$8,317.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,585.78 / $22,908.68	Professional		$4,570.88	$7,585.78	$22,908.68
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,309.57 / $7,079.46	Professional		$5,495.41	$6,309.57	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,951.21 / $7,413.10	Facility		$575.44	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,165.95 / $11,481.54	Professional		$4,466.84	$6,165.95	$11,481.54