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 $2,652.10 / $5,282.44 / $10,161.68	Facility		$2,652.10	$5,282.44	$10,161.68
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 $345.40 / $560.16 / $1,495.82	Professional		$345.40	$560.16	$1,495.82
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 $1,152.00 / $4,530.00 / $8,995.00	Facility		$1,152.00	$4,530.00	$8,995.00