Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,363.00 / $5,389.00	Facility		$463.00	$1,363.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,649.93 / $3,529.28 / $7,067.38	Facility		$1,649.93	$3,529.28	$7,067.38
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 $325.95 / $503.74 / $1,383.85	Professional		$325.95	$503.74	$1,383.85
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