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 / $5,888.44	Facility		$416.87	$1,862.09	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $4,265.80	Facility		$1,412.54	$3,019.95	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $1,380.38	Professional		$229.09	$549.54	$1,380.38
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 $891.25 / $2,290.87 / $4,897.79	Facility		$891.25	$2,290.87	$4,897.79