Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.27 / $3,270.00 / $10,750.00	Facility		$863.27	$3,270.00	$10,750.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,048.53 / $9,286.65 / $17,782.11	Facility		$4,048.53	$9,286.65	$17,782.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,731.00 / $28,989.00	Facility		$875.00	$12,731.00	$28,989.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $473.44 / $737.16 / $2,241.10	Professional		$473.44	$737.16	$2,241.10
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 $2,276.00 / $12,075.00 / $28,103.00	Facility		$2,276.00	$12,075.00	$28,103.00