Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,630.78 / $9,120.11	Facility		$794.33	$3,630.78	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $4,570.88 / $6,606.93	Facility	50	$1,778.28	$4,570.88	$6,606.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $10,964.78	Facility		$3,890.45	$7,762.47	$10,964.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $2,570.40	Professional		$416.87	$676.08	$2,570.40
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 / $4,265.80 / $7,585.78	Facility		$1,288.25	$4,265.80	$7,585.78