Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,842.00 / $5,389.00	Facility		$755.00	$1,842.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.27 / $9,235.76 / $13,031.84	Facility		$4,725.27	$9,235.76	$13,031.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.54 / $832.28 / $2,392.31	Professional		$552.54	$832.28	$2,392.31
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 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00