Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,989.00 / $5,405.00	Facility		$813.00	$1,989.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.17 / $532.17 / $532.17	Professional		$532.17	$532.17	$532.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.57 / $893.34 / $1,129.43	Facility		$746.57	$893.34	$1,129.43
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 $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00