Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.27 / $2,079.00 / $4,697.28	Facility		$411.27	$2,079.00	$4,697.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,683.12 / $4,739.06	Facility		$1,179.36	$2,683.12	$4,739.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,200.00 / $2,769.00	Facility		$400.00	$1,200.00	$2,769.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $278.72 / $399.37 / $1,393.77	Professional		$278.72	$399.37	$1,393.77
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