Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,290.87 / $7,762.47	Facility		$380.19	$2,290.87	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,677.35 / $6,165.95	Facility		$1,905.46	$4,677.35	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $2,041.74	Professional		$234.42	$457.09	$2,041.74
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 $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54