Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.53 / $1,486.00 / $5,091.00	Facility		$180.53	$1,486.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.89 / $1,954.33 / $2,905.02	Facility		$999.89	$1,954.33	$2,905.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $291.56 / $650.14	Professional		$133.41	$291.56	$650.14
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 $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00