Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $1,544.00 / $5,389.00	Facility		$426.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $484.63 / $944.23	Professional		$145.97	$484.63	$944.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.36 / $570.71 / $736.26	Facility		$478.36	$570.71	$736.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.24 / $214.24 / $238.96	Professional		$214.24	$214.24	$238.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $125.00 / $345.40	Professional		$90.69	$125.00	$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
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $65.25 / $150.02	Professional		$46.92	$65.25	$150.02