Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.90 / $1,568.00 / $5,091.00	Facility		$447.90	$1,568.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,520.17 / $5,496.84	Facility		$842.29	$2,520.17	$5,496.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $557.65 / $1,203.35	Professional		$308.76	$557.65	$1,203.35
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