Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.57 / $2,784.00 / $6,661.00	Facility		$902.57	$2,784.00	$6,661.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,508.27 / $11,782.40 / $23,594.25	Facility		$5,508.27	$11,782.40	$23,594.25
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 $995.01 / $1,457.98 / $3,545.91	Professional		$995.01	$1,457.98	$3,545.91
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