Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $135.47 / $263.98	Facility		$101.61	$135.47	$263.98
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $159.80 / $159.80 / $159.80	Facility	25	$159.80	$159.80	$159.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.77 / $642.28 / $2,357.90	Facility		$318.77	$642.28	$2,357.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.31 / $233.61 / $486.06	Professional		$167.31	$233.61	$486.06
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00