Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.57 / $1,229.00 / $4,200.00	Facility		$259.57	$1,229.00	$4,200.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,680.72 / $1,680.72 / $3,608.00	Facility	50	$1,680.72	$1,680.72	$3,608.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,612.44 / $2,221.73 / $3,751.02	Facility		$1,612.44	$2,221.73	$3,751.02
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 $181.07 / $274.83 / $922.77	Professional		$181.07	$274.83	$922.77
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 $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00