Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,731.00 / $5,091.00	Facility		$813.00	$1,731.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,911.93 / $5,059.93 / $13,853.75	Facility		$2,911.93	$5,059.93	$13,853.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $750.00 / $2,720.17	Facility		$400.00	$750.00	$2,720.17
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $743.29 / $1,148.72 / $2,315.30	Professional		$743.29	$1,148.72	$2,315.30
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