Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,728.00 / $9,691.00	Facility		$813.00	$2,728.00	$9,691.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,522.49 / $14,226.39	Facility		$3,889.58	$6,522.49	$14,226.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,430.33 / $10,111.00	Facility		$709.00	$3,430.33	$10,111.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $682.56 / $1,000.18 / $3,755.99	Professional		$682.56	$1,000.18	$3,755.99
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 $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00