Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.90 / $1,972.00 / $5,389.00	Facility		$733.90	$1,972.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,478.91 / $9,580.56 / $19,185.07	Facility		$4,478.91	$9,580.56	$19,185.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $848.68 / $1,217.32 / $3,540.48	Professional		$848.68	$1,217.32	$3,540.48
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 $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00