Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,289.00 / $5,091.00	Facility		$463.00	$1,289.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,884.09 / $4,030.16 / $8,070.39	Facility		$1,884.09	$4,030.16	$8,070.39
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 $339.40 / $491.66 / $1,583.74	Professional		$339.40	$491.66	$1,583.74
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 $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00