Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $8,511.38	Facility		$977.24	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $11,220.18 / $21,379.62	Facility		$4,168.69	$11,220.18	$21,379.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $4,073.80	Professional		$851.14	$1,412.54	$4,073.80
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