Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.41 / $3,148.00 / $7,780.00	Facility		$1,170.41	$3,148.00	$7,780.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,885.28 / $12,828.96 / $25,689.99	Facility		$5,885.28	$12,828.96	$25,689.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,243.03	Facility		$400.00	$785.00	$1,243.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.84 / $1,852.76 / $4,108.76	Professional		$1,198.84	$1,852.76	$4,108.76
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