Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.59 / $1,731.00 / $5,389.00	Facility		$476.59	$1,731.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $2,994.79 / $6,157.17	Facility		$1,918.54	$2,994.79	$6,157.17
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 $270.13 / $417.47 / $1,523.04	Professional		$270.13	$417.47	$1,523.04
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