Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,157.00 / $5,393.00	Facility		$1,129.00	$2,157.00	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,730.81 / $12,492.24 / $25,015.71	Facility		$5,730.81	$12,492.24	$25,015.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,231.67	Facility		$400.00	$785.00	$1,231.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.47 / $121.47 / $121.47	Facility	AS	$121.47	$121.47	$121.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.83 / $1,819.63 / $4,580.41	Professional		$1,175.83	$1,819.63	$4,580.41
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 $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00