Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,681.68 / $5,430.00	Facility		$755.00	$1,681.68	$5,430.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,529.02 / $9,687.76 / $19,399.73	Facility		$4,529.02	$9,687.76	$19,399.73
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 $836.47 / $1,231.34 / $3,922.60	Professional		$836.47	$1,231.34	$3,922.60
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 $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00