Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,587.00 / $6,158.00	Facility		$879.00	$2,587.00	$6,158.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,664.39 / $10,202.07 / $17,829.66	Facility		$7,664.39	$10,202.07	$17,829.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $864.37 / $1,250.01 / $3,402.85	Professional		$864.37	$1,250.01	$3,402.85
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 $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00