Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,964.78 / $20,892.96	Facility		$4,073.80	$10,964.78	$20,892.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $3,630.78	Professional		$794.33	$1,380.38	$3,630.78
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10