Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $7,407.00	Facility		$1,017.00	$3,221.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,378.95 / $5,378.95 / $5,378.95	Professional		$5,378.95	$5,378.95	$5,378.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.38 / $348.33 / $428.46	Facility		$278.38	$348.33	$428.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $321.36 / $358.44	Professional		$278.10	$321.36	$358.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00