Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.60 / $1,620.00 / $5,389.00	Facility		$549.60	$1,620.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,395.33 / $7,523.74 / $12,138.23	Facility		$3,395.33	$7,523.74	$12,138.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $464.41 / $731.14 / $1,750.65	Professional		$464.41	$731.14	$1,750.65
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 / $3,715.00 / $6,625.00	Facility		$1,499.00	$3,715.00	$6,625.00