Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,539.56 / $5,393.00	Facility		$813.00	$2,539.56	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $14,927.82 / $32,559.47	Facility		$3,938.16	$14,927.82	$32,559.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.47 / $2,316.79 / $5,251.87	Professional		$1,544.47	$2,316.79	$5,251.87
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 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00