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 $2,654.22 / $6,228.94 / $12,627.69	Facility		$2,654.22	$6,228.94	$12,627.69
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
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $666.69 / $1,030.33 / $2,597.88	Professional		$666.69	$1,030.33	$2,597.88
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 $1,690.00 / $4,976.00 / $8,566.00	Facility		$1,690.00	$4,976.00	$8,566.00