Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $3,035.00 / $7,125.00	Facility		$974.00	$3,035.00	$7,125.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,532.92 / $5,952.82 / $12,050.62	Facility		$2,532.92	$5,952.82	$12,050.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,100.00 / $10,962.00	Facility		$659.00	$1,100.00	$10,962.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $65.13 / $65.13	Facility	AS	$65.13	$65.13	$65.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.46 / $985.17 / $2,324.71	Professional		$637.46	$985.17	$2,324.71
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 $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00