Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,090.30 / $9,772.37	Facility		$1,122.02	$3,090.30	$9,772.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,182.57 / $25,118.86	Facility		$4,897.79	$13,182.57	$25,118.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $5,011.87	Professional		$1,023.29	$1,905.46	$5,011.87
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