Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $1,785.00 / $5,393.00	Facility		$387.23	$1,785.00	$5,393.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,493.00 / $5,493.00 / $15,526.35	Facility	50	$5,493.00	$5,493.00	$15,526.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,494.10 / $6,296.34	Facility		$2,259.12	$4,494.10	$6,296.34
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 $280.94 / $1,297.30 / $2,111.29	Professional		$280.94	$1,297.30	$2,111.29
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 $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00