Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $5,848.00 / $9,795.40	Facility		$2,924.00	$5,848.00	$9,795.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $3,640.38	Professional		$2,924.00	$2,924.00	$3,640.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,513.01 / $4,203.60 / $5,314.56	Facility		$3,513.01	$4,203.60	$5,314.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $4,020.50	Professional		$100.00	$200.00	$4,020.50
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,191.33 / $5,191.33 / $5,191.33	Facility		$5,191.33	$5,191.33	$5,191.33
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,231.63	Professional		$3,045.83	$3,045.83	$3,231.63