Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,884.03 / $10,000.00	Facility		$812.83	$2,884.03	$10,000.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	53	$1,819.70	$1,819.70	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $13,489.63 / $17,782.79	Facility		$5,248.07	$13,489.63	$17,782.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $2,238.72	Professional		$478.63	$870.96	$2,238.72
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 $3,981.07 / $9,772.37 / $33,884.42	Facility		$3,981.07	$9,772.37	$33,884.42