Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,698.19	Facility		$3,889.58	$6,290.98	$13,698.19
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 $658.93 / $967.67 / $2,265.54	Professional		$658.93	$967.67	$2,265.54
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 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00