Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.40 / $1,652.62 / $5,549.00	Facility		$837.40	$1,652.62	$5,549.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,752.04 / $10,164.79 / $20,355.00	Facility		$4,752.04	$10,164.79	$20,355.00
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 $882.21 / $1,381.68 / $5,427.53	Professional		$882.21	$1,381.68	$5,427.53
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00