Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.77 / $2,079.00 / $8,194.91	Facility		$571.77	$2,079.00	$8,194.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,219.19 / $4,299.64 / $39,253.42	Facility	50	$2,219.19	$4,299.64	$39,253.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.98 / $5,611.03 / $10,126.71	Facility		$2,642.98	$5,611.03	$10,126.71
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 $488.80 / $782.65 / $2,539.03	Professional		$488.80	$782.65	$2,539.03
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 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00