Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $1,207.00 / $4,634.00	Facility		$248.50	$1,207.00	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.05 / $2,200.17 / $3,223.25	Facility		$857.05	$2,200.17	$3,223.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $2,769.00	Facility		$300.00	$1,000.00	$2,769.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.49 / $503.50 / $975.36	Professional		$178.49	$503.50	$975.36
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