Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,612.76 / $27,493.76 / $55,056.25	Facility		$12,612.76	$27,493.76	$55,056.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,654.64	Facility		$400.00	$785.00	$2,654.64
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,559.50 / $3,955.59 / $11,617.44	Professional		$2,559.50	$3,955.59	$11,617.44
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 $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00