Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $3,073.00 / $7,123.00	Facility		$974.00	$3,073.00	$7,123.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,734.92 / $20,823.36 / $41,698.76	Facility		$9,734.92	$20,823.36	$41,698.76
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 $1,762.29 / $2,651.08 / $8,194.71	Professional		$1,762.29	$2,651.08	$8,194.71
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 $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00