Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,621.81 / $5,623.41	Facility		$275.42	$1,621.81	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $3,630.78 / $3,630.78	Facility	50	$1,698.24	$3,630.78	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,290.87 / $3,235.94	Facility		$912.01	$2,290.87	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $933.25	Professional		$169.82	$269.15	$933.25
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 $660.69 / $1,479.11 / $4,168.69	Facility		$660.69	$1,479.11	$4,168.69