Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,949.84 / $5,888.44	Facility		$794.33	$1,949.84	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $13,182.57	Facility		$2,089.30	$2,754.23	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,398.83	Professional		$630.96	$1,000.00	$2,398.83
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 $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30