Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.58 / $1,363.00 / $5,389.00	Facility		$453.58	$1,363.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,476.25 / $3,157.76 / $6,323.41	Facility		$1,476.25	$3,157.76	$6,323.41
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 $293.49 / $453.58 / $1,254.39	Professional		$293.49	$453.58	$1,254.39
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00