Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,954.00 / $5,405.00	Facility		$813.00	$1,954.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $1,575.67	Professional		$1,575.67	$1,575.67	$1,575.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,230.98 / $2,669.56 / $3,375.08	Facility		$2,230.98	$2,669.56	$3,375.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
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 $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00