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 / $7,407.00	Facility		$813.00	$2,747.00	$7,407.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.64 / $9,785.36 / $19,595.18	Facility		$4,574.64	$9,785.36	$19,595.18
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 $805.63 / $1,215.95 / $3,632.96	Professional		$805.63	$1,215.95	$3,632.96
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