Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,972.00 / $5,389.00	Facility		$813.00	$1,972.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,871.68 / $12,559.76 / $25,150.91	Facility		$5,871.68	$12,559.76	$25,150.91
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 $1,097.44 / $1,592.83 / $4,292.04	Professional		$1,097.44	$1,592.83	$4,292.04
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 $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00