Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,137.96 / $7,762.47	Facility		$630.96	$2,137.96	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $13,803.84	Facility		$4,073.80	$4,897.79	$13,803.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $3,801.89	Professional		$776.25	$1,230.27	$3,801.89
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 $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51