Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.20 / $1,996.53 / $5,493.00	Facility		$1,101.20	$1,996.53	$5,493.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,537.25 / $12,070.32 / $24,170.81	Facility		$5,537.25	$12,070.32	$24,170.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,181.39	Facility		$400.00	$785.00	$1,181.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $115.95 / $115.95	Facility	AS	$115.95	$115.95	$115.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.21 / $1,749.78 / $4,455.39	Professional		$1,132.21	$1,749.78	$4,455.39
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