Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.24 / $1,055.00 / $4,634.00	Facility		$332.24	$1,055.00	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.85 / $1,747.43 / $3,373.11	Facility		$863.85	$1,747.43	$3,373.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.20 / $785.00 / $1,231.60	Facility		$289.20	$785.00	$1,231.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $572.24 / $1,631.15	Professional		$234.94	$572.24	$1,631.15
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 $1,183.00 / $2,427.00 / $4,636.00	Facility		$1,183.00	$2,427.00	$4,636.00