Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,784.00 / $6,661.00	Facility		$1,207.00	$2,784.00	$6,661.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,107.46 / $13,313.28 / $26,659.84	Facility		$6,107.46	$13,313.28	$26,659.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,284.00	Facility		$400.00	$785.00	$1,284.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.63 / $1,870.40 / $4,402.64	Professional		$1,134.63	$1,870.40	$4,402.64
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