Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,989.00 / $7,164.96	Facility		$813.00	$2,989.00	$7,164.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,610.23 / $3,860.42 / $14,584.98	Facility		$2,610.23	$3,860.42	$14,584.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $908.00	Facility		$400.00	$785.00	$908.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $734.01 / $1,165.98 / $3,082.04	Professional		$734.01	$1,165.98	$3,082.04
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