Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,989.00 / $8,144.40	Facility		$813.00	$2,989.00	$8,144.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,503.26 / $2,503.26 / $2,503.26	Facility	50	$2,503.26	$2,503.26	$2,503.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,681.50 / $6,802.72 / $14,105.87	Facility		$3,681.50	$6,802.72	$14,105.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,002.00 / $13,106.00	Facility		$875.00	$12,002.00	$13,106.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $993.95 / $2,885.21	Professional		$638.01	$993.95	$2,885.21
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 $1,282.00 / $3,751.00 / $6,874.00	Facility		$1,282.00	$3,751.00	$6,874.00