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 $2,188.34 / $4,680.96 / $9,373.62	Facility		$2,188.34	$4,680.96	$9,373.62
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 $381.94 / $595.04 / $1,733.18	Professional		$381.94	$595.04	$1,733.18
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