Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $9,772.37	Facility		$1,148.15	$3,090.30	$9,772.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $28,183.83	Facility		$5,370.32	$14,454.40	$28,183.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $5,495.41	Professional		$1,122.02	$2,089.30	$5,495.41
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