Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $302.00	Professional		$104.71	$104.71	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $295.12	Facility		$218.78	$245.47	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
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 $128.82 / $128.82 / $457.09	Facility		$128.82	$128.82	$457.09