Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,800.00 / $5,549.00	Facility		$813.00	$2,800.00	$5,549.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,723.99 / $11,455.97	Facility		$3,878.08	$5,723.99	$11,455.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $806.80 / $2,772.62	Professional		$551.83	$806.80	$2,772.62
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 $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00