Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $1,272.00 / $5,389.00	Facility		$156.19	$1,272.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,283.00 / $5,283.00 / $5,283.00	Facility	50	$5,283.00	$5,283.00	$5,283.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.77 / $996.32 / $1,995.13	Facility		$465.77	$996.32	$1,995.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $148.75 / $546.67	Professional		$96.46	$148.75	$546.67
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