Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $10,000.00	Facility		$1,148.15	$4,168.69	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $9,772.37 / $9,772.37	Professional		$2,089.30	$9,772.37	$9,772.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $13,803.84 / $16,218.10	Facility		$9,332.54	$13,803.84	$16,218.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$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 $1,288.25 / $4,365.16 / $8,511.38	Facility		$1,288.25	$4,365.16	$8,511.38