Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,731.00 / $5,091.00	Facility		$755.00	$1,731.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,536.38 / $5,059.93 / $12,067.02	Facility		$2,536.38	$5,059.93	$12,067.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $679.62 / $2,720.17	Facility		$400.00	$679.62	$2,720.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $609.91 / $968.91 / $2,596.00	Professional		$609.91	$968.91	$2,596.00
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