Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $14,125.38	Facility		$1,148.15	$4,265.80	$14,125.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $28,183.83	Facility		$5,370.32	$14,454.40	$28,183.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $5,248.07	Professional		$1,071.52	$1,778.28	$5,248.07
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10