Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.30 / $3,221.00 / $8,034.00	Facility		$829.30	$3,221.00	$8,034.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,513.06 / $10,868.30	Facility		$3,878.08	$5,513.06	$10,868.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $3,072.73 / $3,430.33	Facility		$1,383.00	$3,072.73	$3,430.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $765.55 / $2,397.75	Professional		$523.79	$765.55	$2,397.75
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