Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.38 / $1,609.00 / $5,430.00	Facility		$895.38	$1,609.00	$5,430.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,502.31 / $9,814.32 / $19,653.16	Facility		$4,502.31	$9,814.32	$19,653.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $952.91	Facility		$400.00	$785.00	$952.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $889.85 / $1,415.62 / $4,152.09	Professional		$889.85	$1,415.62	$4,152.09
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 $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00