Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.61 / $1,731.00 / $5,091.00	Facility		$195.61	$1,731.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.58 / $1,344.56 / $2,692.48	Facility		$628.58	$1,344.56	$2,692.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $174.88 / $639.27	Professional		$121.72	$174.88	$639.27
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 $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00