Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,513.06 / $10,978.64	Facility		$3,878.08	$5,513.06	$10,978.64
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 $492.55 / $749.53 / $2,528.14	Professional		$492.55	$749.53	$2,528.14
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