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 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $27,542.29	Facility		$5,370.32	$14,454.40	$27,542.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $6,025.60	Professional		$1,202.26	$1,995.26	$6,025.60
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