Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.50 / $1,379.00 / $5,091.00	Facility		$288.50	$1,379.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,381.97 / $1,381.97 / $1,381.97	Facility	50	$1,381.97	$1,381.97	$1,381.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.25 / $1,705.36 / $3,414.98	Facility		$797.25	$1,705.36	$3,414.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.85 / $970.35 / $1,609.60	Professional		$206.85	$970.35	$1,609.60
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00