Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.20 / $1,647.62 / $4,634.00	Facility		$764.20	$1,647.62	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $6,669.66 / $14,547.38	Facility		$3,887.73	$6,669.66	$14,547.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,713.32 / $3,029.10	Facility		$620.00	$2,713.32	$3,029.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $742.47 / $1,156.45 / $2,745.15	Professional		$742.47	$1,156.45	$2,745.15
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 $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00