Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.90 / $1,609.00 / $5,389.00	Facility		$381.90	$1,609.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,277.97 / $3,277.81 / $4,659.71	Facility		$1,277.97	$3,277.81	$4,659.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $2,769.00	Facility		$400.00	$908.00	$2,769.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.96 / $328.98 / $1,311.96	Professional		$220.96	$328.98	$1,311.96
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