Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.00 / $7,715.80	Facility		$1,159.00	$4,200.00	$7,715.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,075.30 / $41,581.04 / $83,266.03	Facility		$19,075.30	$41,581.04	$83,266.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,013.89	Facility		$400.00	$785.00	$4,013.89
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,871.91 / $6,159.86 / $14,494.76	Professional		$3,871.91	$6,159.86	$14,494.76
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 $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00