Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,686.30 / $5,091.00	Facility		$755.00	$1,686.30	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,614.28 / $14,426.58	Facility		$2,517.01	$6,614.28	$14,426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $783.32 / $1,281.66 / $3,363.47	Professional		$783.32	$1,281.66	$3,363.47
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