Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,157.00 / $6,122.20	Facility		$755.00	$2,157.00	$6,122.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,227.81 / $7,560.16 / $16,489.66	Facility		$4,227.81	$7,560.16	$16,489.66
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 $784.17 / $1,175.03 / $2,564.36	Professional		$784.17	$1,175.03	$2,564.36
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 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00