Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.40 / $2,784.00 / $7,000.00	Facility		$991.40	$2,784.00	$7,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,050.38 / $12,942.00 / $25,916.35	Facility		$6,050.38	$12,942.00	$25,916.35
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 $1,130.06 / $1,693.20 / $4,811.80	Professional		$1,130.06	$1,693.20	$4,811.80
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 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00