Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,548.82 / $7,762.47	Facility		$416.87	$1,548.82	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $4,466.84	Facility		$660.69	$831.76	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,047.13	Professional		$309.03	$512.86	$1,047.13
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 $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76