Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.48 / $2,933.00 / $5,549.00	Facility		$822.48	$2,933.00	$5,549.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,939.16 / $11,249.88	Facility		$3,878.08	$5,939.16	$11,249.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $597.75 / $2,448.61 / $4,940.95	Professional		$597.75	$2,448.61	$4,940.95
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 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00