Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,235.94 / $9,772.37	Facility		$630.96	$3,235.94	$9,772.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $7,762.47	Facility		$1,513.56	$4,073.80	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,905.46	Professional		$346.74	$602.56	$1,905.46
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