Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $9,772.37	Facility		$1,148.15	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $5,011.87	Professional		$1,000.00	$2,089.30	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $16,595.87 / $19,952.62	Facility		$14,791.08	$16,595.87	$19,952.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $1,905.46	Professional		$120.23	$199.53	$1,905.46
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 $2,570.40 / $9,772.37 / $25,703.96	Facility		$2,570.40	$9,772.37	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,630.78	Professional		$1,148.15	$1,659.59	$3,630.78