Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,775.00 / $4,634.00	Facility		$735.00	$1,775.00	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.76 / $13,710.72 / $27,455.71	Facility		$6,409.76	$13,710.72	$27,455.71
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 $1,137.70 / $1,736.26 / $5,424.97	Professional		$1,137.70	$1,736.26	$5,424.97
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