Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,838.14 / $9,829.73 / $13,850.99	Facility		$5,838.14	$9,829.73	$13,850.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $642.28 / $956.10 / $2,960.96	Professional		$642.28	$956.10	$2,960.96
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 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00