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 $5,128.61 / $13,803.84 / $26,302.68	Facility		$5,128.61	$13,803.84	$26,302.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $5,754.40	Professional		$1,148.15	$1,905.46	$5,754.40
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