Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,118.00 / $5,393.00	Facility		$813.00	$2,118.00	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.93 / $6,329.17 / $12,830.88	Facility		$2,696.93	$6,329.17	$12,830.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $714.20 / $3,808.57	Facility		$450.00	$714.20	$3,808.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $632.51 / $1,023.83 / $2,215.44	Professional		$632.51	$1,023.83	$2,215.44
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 $1,600.00 / $4,391.00 / $8,040.00	Facility		$1,600.00	$4,391.00	$8,040.00