Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $8,511.38	Facility		$1,148.15	$4,677.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $6,025.60	Professional		$2,691.53	$3,162.28	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $47,863.01 / $93,325.43	Facility		$17,782.79	$47,863.01	$93,325.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $6,309.57	Professional		$3,715.35	$6,025.60	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $14,125.38	Professional		$2,884.03	$4,786.30	$14,125.38
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 $3,311.31 / $3,801.89 / $4,265.80	Professional		$3,311.31	$3,801.89	$4,265.80
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 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Professional		$2,884.03	$3,801.89	$6,456.54