Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.76 / $1,694.00 / $5,389.00	Facility		$209.76	$1,694.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.01 / $1,290.07 / $2,219.82	Facility		$687.01	$1,290.07	$2,219.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $864.62 / $1,000.00	Facility		$121.52	$864.62	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $190.21 / $508.72	Professional		$122.58	$190.21	$508.72
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 $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00