Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,747.00 / $5,549.00	Facility		$813.00	$2,747.00	$5,549.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.28 / $6,822.00 / $13,661.05	Facility		$3,189.28	$6,822.00	$13,661.05
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 $589.95 / $868.16 / $3,013.48	Professional		$589.95	$868.16	$3,013.48
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 $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00