Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,691.53 / $9,772.37	Facility		$467.74	$2,691.53	$9,772.37
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 $208.93 / $331.13 / $977.24	Professional		$208.93	$331.13	$977.24
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