Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $7,762.47	Facility		$707.95	$2,041.74	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $8,912.51	Facility		$4,073.80	$4,786.30	$8,912.51
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 $436.52 / $691.83 / $1,905.46	Professional		$436.52	$691.83	$1,905.46
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