Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,731.00 / $5,389.00	Facility		$813.00	$1,731.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,762.36 / $12,325.92 / $24,682.65	Facility		$5,762.36	$12,325.92	$24,682.65
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 $1,047.47 / $1,564.99 / $4,900.53	Professional		$1,047.47	$1,564.99	$4,900.53
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