Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $1,842.00 / $5,430.00	Facility		$885.00	$1,842.00	$5,430.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,401.04 / $11,553.04 / $23,134.96	Facility		$5,401.04	$11,553.04	$23,134.96
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 $972.34 / $1,433.53 / $3,473.47	Professional		$972.34	$1,433.53	$3,473.47
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 $2,575.00 / $7,055.00 / $14,572.00	Facility		$2,575.00	$7,055.00	$14,572.00