Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,055.00 / $4,634.00	Facility		$438.00	$1,055.00	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,293.41 / $6,662.57	Facility		$1,903.11	$4,293.41	$6,662.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $500.00 / $2,713.32	Facility		$300.00	$500.00	$2,713.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.67 / $652.47 / $1,382.77	Professional		$398.67	$652.47	$1,382.77
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 $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00