Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.63 / $800.00 / $4,500.00	Facility		$124.63	$800.00	$4,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.86 / $1,154.47 / $1,681.00	Facility		$483.86	$1,154.47	$1,681.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.24 / $480.00 / $1,000.00	Facility		$124.24	$480.00	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $379.31 / $772.64	Professional		$102.66	$379.31	$772.64
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