Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $8,511.38	Facility		$1,071.52	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $13,489.63 / $26,302.68	Facility		$5,011.87	$13,489.63	$26,302.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $5,128.61	Professional		$1,023.29	$1,698.24	$5,128.61
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