Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $5,623.41	Facility		$380.19	$1,862.09	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $3,311.31	Facility		$1,258.93	$2,454.71	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,698.24 / $2,754.23	Facility		$302.00	$1,698.24	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $575.44 / $1,412.54	Professional		$177.83	$575.44	$1,412.54
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 $1,096.48 / $3,467.37 / $6,165.95	Facility		$1,096.48	$3,467.37	$6,165.95