Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.17 / $1,785.00 / $6,662.95	Facility		$594.17	$1,785.00	$6,662.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,945.34 / $9,897.58	Facility		$3,420.83	$4,945.34	$9,897.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $473.36 / $708.44 / $1,561.07	Professional		$473.36	$708.44	$1,561.07
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 $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00