Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,289.00 / $5,091.00	Facility		$438.00	$1,289.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,613.02 / $3,450.32 / $6,909.26	Facility		$1,613.02	$3,450.32	$6,909.26
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 $292.66 / $428.17 / $1,258.77	Professional		$292.66	$428.17	$1,258.77
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