Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $177.41 / $340.57	Facility		$133.05	$177.41	$340.57
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $286.80 / $286.80 / $286.80	Facility	25	$286.80	$286.80	$286.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.06 / $830.11 / $3,051.23	Facility		$396.06	$830.11	$3,051.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.19 / $306.08 / $683.87	Professional		$219.19	$306.08	$683.87
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00