Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $9,549.93	Facility		$691.83	$3,630.78	$9,549.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,244.36 / $12,022.64	Facility		$3,235.94	$7,244.36	$12,022.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $2,290.87	Professional		$562.34	$1,000.00	$2,290.87
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 $1,698.24 / $4,365.16 / $9,772.37	Facility		$1,698.24	$4,365.16	$9,772.37