Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,157.00 / $5,393.00	Facility		$923.00	$2,157.00	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $14,201.51 / $30,975.29	Facility		$4,464.57	$14,201.51	$30,975.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,377.03 / $2,118.51 / $4,509.35	Professional		$1,377.03	$2,118.51	$4,509.35
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