Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,090.30 / $8,511.38	Facility		$794.33	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,495.41 / $10,715.19	Facility		$2,041.74	$5,495.41	$10,715.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $2,884.03	Professional		$467.74	$812.83	$2,884.03
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