Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,132.23 / $5,393.00	Facility		$813.00	$2,132.23	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,153.15 / $5,059.93 / $15,001.39	Facility		$3,153.15	$5,059.93	$15,001.39
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 $802.07 / $1,230.04 / $2,857.86	Professional		$802.07	$1,230.04	$2,857.86
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