Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,905.46 / $5,888.44	Facility		$758.58	$1,905.46	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $13,489.63	Facility		$4,168.69	$5,011.87	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $3,090.30	Professional		$741.31	$1,174.90	$3,090.30
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 $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78