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 $5,623.41 / $15,135.61 / $29,512.09	Facility		$5,623.41	$15,135.61	$29,512.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $4,365.16	Professional		$977.24	$1,584.89	$4,365.16
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