Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $1,365.00 / $5,283.00	Facility		$688.00	$1,365.00	$5,283.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,409.27 / $2,291.38 / $8,657.02	Facility		$1,409.27	$2,291.38	$8,657.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $486.30 / $1,231.60	Facility		$300.00	$486.30	$1,231.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $439.50 / $691.14 / $1,774.62	Professional		$439.50	$691.14	$1,774.62
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