Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $2,989.00 / $7,407.00	Facility		$62.84	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $98.65 / $138.01	Professional		$62.84	$98.65	$138.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.10 / $3,261.90 / $4,208.13	Facility		$2,734.10	$3,261.90	$4,208.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $156.94 / $223.35	Professional		$109.56	$156.94	$223.35
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 $112.87 / $142.43 / $156.94	Professional		$112.87	$142.43	$156.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,951.00 / $6,625.00	Facility		$1,400.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $154.13 / $256.37	Professional		$104.98	$154.13	$256.37