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 / $9,120.11	Facility		$1,148.15	$4,466.84	$9,120.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $30,902.95 / $58,884.37	Facility		$11,481.54	$30,902.95	$58,884.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $13,182.57	Professional		$2,630.27	$4,265.80	$13,182.57
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