Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,187.76 / $5,888.44	Facility		$870.96	$2,187.76	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $10,471.29	Facility		$4,073.80	$5,011.87	$10,471.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $2,344.23	Professional		$537.03	$891.25	$2,344.23
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 $1,584.89 / $3,630.78 / $7,585.78	Facility		$1,584.89	$3,630.78	$7,585.78