Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,168.69 / $11,220.18	Facility		$851.14	$4,168.69	$11,220.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $10,232.93	Facility		$4,073.80	$4,897.79	$10,232.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,905.46	Professional		$489.78	$776.25	$1,905.46
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 $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78