Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,890.45 / $9,549.93	Facility		$478.63	$3,890.45	$9,549.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $6,165.95	Facility		$2,454.71	$4,677.35	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,288.25	Professional		$288.40	$446.68	$1,288.25
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 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78