Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,128.31 / $15,488.17	Facility		$3,019.95	$8,128.31	$15,488.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,691.53	Professional		$660.69	$1,202.26	$2,691.53
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 $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10