Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,232.00 / $5,493.00	Facility		$1,129.00	$2,232.00	$5,493.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,882.71 / $12,823.36 / $25,678.77	Facility		$5,882.71	$12,823.36	$25,678.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,283.26	Facility		$400.00	$785.00	$1,283.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.90 / $125.90 / $125.90	Facility	AS	$125.90	$125.90	$125.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.33 / $1,887.99 / $5,523.27	Professional		$1,215.33	$1,887.99	$5,523.27
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 $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00