Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $1,293.81 / $4,634.00	Facility		$688.00	$1,293.81	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,821.47 / $12,697.38	Facility		$2,202.15	$5,821.47	$12,697.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $686.83 / $1,032.08 / $2,745.15	Professional		$686.83	$1,032.08	$2,745.15
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 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00