Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,882.00 / $5,405.00	Facility		$513.00	$1,882.00	$5,405.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,269.60 / $2,579.96 / $4,864.60	Facility		$1,269.60	$2,579.96	$4,864.60
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 $253.55 / $393.12 / $1,228.14	Professional		$253.55	$393.12	$1,228.14
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 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00