Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.00 / $6,847.78	Facility		$1,159.00	$4,200.00	$6,847.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,844.27 / $36,717.76 / $73,527.31	Facility		$16,844.27	$36,717.76	$73,527.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,543.61	Facility		$400.00	$785.00	$3,543.61
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,419.74 / $5,285.05 / $12,750.16	Professional		$3,419.74	$5,285.05	$12,750.16
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