Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,255.96 / $5,393.00	Facility		$826.00	$2,255.96	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,940.11 / $23,337.49 / $32,990.37	Facility		$11,940.11	$23,337.49	$32,990.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $28,904.61 / $32,268.53	Facility		$875.00	$28,904.61	$32,268.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.24 / $1,985.59 / $4,384.39	Professional		$1,315.24	$1,985.59	$4,384.39
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 $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00