Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,476.00 / $5,389.00	Facility		$349.00	$1,476.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.90 / $868.24 / $1,738.65	Facility		$405.90	$868.24	$1,738.65
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 $76.31 / $112.95 / $345.89	Professional		$76.31	$112.95	$345.89
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 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00