Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,621.81 / $5,623.41	Facility		$239.88	$1,621.81	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,344.23 / $4,466.84	Facility		$870.96	$2,344.23	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $1,412.54	Professional		$194.98	$295.12	$1,412.54
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 $1,412.54 / $4,677.35 / $8,912.51	Facility		$1,412.54	$4,677.35	$8,912.51