Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,862.09 / $5,888.44	Facility		$660.69	$1,862.09	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $14,125.38	Facility		$4,073.80	$5,011.87	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $3,548.13	Professional		$691.83	$1,096.48	$3,548.13
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 $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51