Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,972.00 / $5,389.00	Facility		$755.00	$1,972.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $7,024.90 / $15,322.20	Facility		$2,202.15	$7,024.90	$15,322.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $712.37 / $1,066.85 / $2,975.45	Professional		$712.37	$1,066.85	$2,975.45
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