Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,862.09 / $5,623.41	Facility		$416.87	$1,862.09	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $5,128.61	Facility		$1,412.54	$3,019.95	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,380.38 / $3,019.95	Professional		$281.84	$1,380.38	$3,019.95
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 $1,288.25 / $3,548.13 / $6,165.95	Facility		$1,288.25	$3,548.13	$6,165.95