Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,430.00	Facility		$755.00	$1,609.00	$5,430.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,773.58 / $8,071.84 / $16,163.85	Facility		$3,773.58	$8,071.84	$16,163.85
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 $696.20 / $1,052.16 / $2,828.76	Professional		$696.20	$1,052.16	$2,828.76
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 $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00