Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,199.94 / $5,389.00	Facility		$826.00	$2,199.94	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $12,955.51 / $28,257.61	Facility		$3,938.16	$12,955.51	$28,257.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.36 / $2,021.51 / $4,844.39	Professional		$1,350.36	$2,021.51	$4,844.39
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 $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00