Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.83 / $4,634.00 / $17,343.16	Facility		$1,262.83	$4,634.00	$17,343.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,444.39 / $10,430.11 / $21,144.55	Facility		$4,444.39	$10,430.11	$21,144.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,383.00 / $5,676.58	Facility		$914.00	$1,383.00	$5,676.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.48 / $1,752.58 / $5,308.50	Professional		$1,153.48	$1,752.58	$5,308.50
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 $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00