Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $9,772.37	Facility		$1,148.15	$4,466.84	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,122.02 / $4,365.16	Professional		$275.42	$1,122.02	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $912.01 / $1,071.52	Facility		$812.83	$912.01	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $512.86 / $1,479.11 / $3,801.89	Facility		$512.86	$1,479.11	$3,801.89