Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,235.00 / $5,549.00	Facility		$755.00	$2,235.00	$5,549.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,007.02 / $12,350.16	Facility		$3,889.58	$6,007.02	$12,350.16
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 $593.70 / $868.15 / $2,173.17	Professional		$593.70	$868.15	$2,173.17
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