Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,370.32 / $15,488.17	Facility		$1,202.26	$5,370.32	$15,488.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,182.57 / $25,703.96	Facility		$4,897.79	$13,182.57	$25,703.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $4,365.16	Professional		$1,023.29	$1,659.59	$4,365.16
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 $1,584.89 / $5,495.41 / $8,511.38	Facility		$1,584.89	$5,495.41	$8,511.38