Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,511.38	Facility		$954.99	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,862.09	Professional		$891.25	$1,071.52	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $14,791.08 / $28,840.32	Facility		$5,495.41	$14,791.08	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $1,995.26	Professional		$1,148.15	$1,862.09	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $4,168.69	Professional		$954.99	$1,548.82	$4,168.69
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 $1,122.02 / $1,202.26 / $1,288.25	Professional		$1,122.02	$1,202.26	$1,288.25
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 $933.25 / $1,288.25 / $2,041.74	Professional		$933.25	$1,288.25	$2,041.74