Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.87 / $1,972.00 / $5,393.00	Facility		$235.87	$1,972.00	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,589.28 / $3,645.54 / $5,348.06	Facility		$1,589.28	$3,645.54	$5,348.06
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 $132.44 / $210.47 / $631.55	Professional		$132.44	$210.47	$631.55
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