Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.00 / $4,634.00 / $31,235.22	Facility		$1,609.00	$4,634.00	$31,235.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,998.00 / $17,856.30 / $36,147.50	Facility		$11,998.00	$17,856.30	$36,147.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $21,022.00	Facility		$400.00	$908.00	$21,022.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $3,016.53 / $7,361.17	Professional		$1,906.00	$3,016.53	$7,361.17
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 $1,400.00 / $6,920.00 / $16,667.00	Facility		$1,400.00	$6,920.00	$16,667.00