Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,118.00 / $5,393.00	Facility		$813.00	$2,118.00	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,751.46 / $5,059.93 / $13,090.31	Facility		$2,751.46	$5,059.93	$13,090.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $735.00 / $2,720.17	Facility		$450.00	$735.00	$2,720.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $694.23 / $1,075.04 / $2,224.87	Professional		$694.23	$1,075.04	$2,224.87
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 $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00