Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.79 / $1,055.00 / $4,634.00	Facility		$167.79	$1,055.00	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.28 / $1,016.18 / $2,216.42	Facility		$528.28	$1,016.18	$2,216.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.96 / $411.96 / $459.91	Facility		$411.96	$411.96	$459.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $180.00 / $469.81	Professional		$125.26	$180.00	$469.81
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 / $900.00 / $3,685.00	Facility		$165.00	$900.00	$3,685.00