Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,694.00 / $7,037.79	Facility		$813.00	$1,694.00	$7,037.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,610.04 / $10,053.12 / $15,376.94	Facility		$6,610.04	$10,053.12	$15,376.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $8,866.04 / $12,465.00	Facility		$620.00	$8,866.04	$12,465.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $765.38 / $1,124.82 / $2,997.18	Professional		$765.38	$1,124.82	$2,997.18
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 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00