Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.13 / $1,264.51 / $6,500.00	Facility		$481.13	$1,264.51	$6,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.55 / $7,338.10 / $12,138.23	Facility		$3,311.55	$7,338.10	$12,138.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.34 / $726.31 / $1,518.50	Professional		$451.34	$726.31	$1,518.50
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 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00