Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $1,094.00 / $4,634.00	Facility		$159.91	$1,094.00	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,970.34 / $4,970.34 / $4,970.34	Facility	50	$4,970.34	$4,970.34	$4,970.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.33 / $2,169.01 / $3,480.71	Facility		$999.33	$2,169.01	$3,480.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $709.74 / $1,069.36	Professional		$115.60	$709.74	$1,069.36
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 $749.00 / $2,685.00 / $5,161.00	Facility		$749.00	$2,685.00	$5,161.00