Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,232.93 / $19,498.45	Facility		$3,801.89	$10,232.93	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,659.59 / $3,548.13	Professional		$891.25	$1,659.59	$3,548.13
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 $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10