Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.29 / $4,421.00 / $15,000.00	Facility		$1,520.29	$4,421.00	$15,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,480.78 / $19,260.48 / $42,009.54	Facility		$12,480.78	$19,260.48	$42,009.54
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 $1,585.90 / $2,505.38 / $6,838.73	Professional		$1,585.90	$2,505.38	$6,838.73
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 $2,575.00 / $7,839.00 / $14,468.00	Facility		$2,575.00	$7,839.00	$14,468.00