Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,365.00 / $5,405.00	Facility		$349.00	$1,365.00	$5,405.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.44 / $3,021.28 / $6,050.11	Facility		$1,412.44	$3,021.28	$6,050.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $383.31 / $1,613.36	Professional		$247.70	$383.31	$1,613.36
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00