Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.00 / $1,798.08 / $5,091.00	Facility		$762.00	$1,798.08	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,998.36 / $12,830.72 / $25,693.51	Facility		$5,998.36	$12,830.72	$25,693.51
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 $1,101.63 / $1,611.62 / $3,511.50	Professional		$1,101.63	$1,611.62	$3,511.50
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 $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00