Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.96 / $2,933.00 / $5,549.00	Facility		$717.96	$2,933.00	$5,549.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,350.91 / $9,489.89	Facility		$2,118.73	$4,350.91	$9,489.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,631.14 / $1,820.98	Facility		$875.00	$1,631.14	$1,820.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.16 / $685.76 / $1,903.35	Professional		$451.16	$685.76	$1,903.35
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 $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00