Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $4,976.10 / $18,910.32	Facility		$1,272.00	$4,976.10	$18,910.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,055.50 / $13,200.00 / $26,433.00	Facility		$6,055.50	$13,200.00	$26,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,264.70	Facility		$400.00	$785.00	$1,264.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.14 / $123.14 / $123.14	Facility	AS	$123.14	$123.14	$123.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.11 / $1,950.64 / $8,907.60	Professional		$1,226.11	$1,950.64	$8,907.60
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 / $6,885.00 / $17,033.00	Facility		$1,400.00	$6,885.00	$17,033.00