Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.91 / $1,842.00 / $5,091.00	Facility		$368.91	$1,842.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,474.07 / $3,715.05	Facility		$1,179.36	$2,474.07	$3,715.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.16 / $643.00 / $1,681.46	Facility		$215.16	$643.00	$1,681.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.19 / $317.45 / $932.52	Professional		$218.19	$317.45	$932.52
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 $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00