Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $33,113.11 / $64,565.42	Facility		$12,302.69	$33,113.11	$64,565.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,248.07 / $16,595.87	Professional		$2,818.38	$5,248.07	$16,595.87
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10