Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,090.30 / $9,772.37	Facility		$794.33	$3,090.30	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $5,754.40 / $14,791.08	Facility	50	$1,122.02	$5,754.40	$14,791.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,471.29 / $12,589.25	Facility		$5,128.61	$10,471.29	$12,589.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $3,715.35	Professional		$549.54	$912.01	$3,715.35
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 $2,238.72 / $6,025.60 / $12,302.69	Facility		$2,238.72	$6,025.60	$12,302.69