Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,772.37 / $19,054.61	Facility		$3,630.78	$9,772.37	$19,054.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $4,265.80	Professional		$812.83	$1,318.26	$4,265.80
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