Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $177.83 / $263.03	Facility		$102.33	$177.83	$263.03
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	25	$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $2,290.87	Facility		$323.59	$616.60	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $562.34	Professional		$169.82	$275.42	$562.34
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 $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36