Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,380.38 / $5,623.41	Facility		$151.36	$1,380.38	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $831.76 / $1,621.81	Facility		$309.03	$831.76	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $602.56	Professional		$107.15	$275.42	$602.56
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 $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27