Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,379.00 / $5,389.00	Facility		$630.00	$1,379.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,442.70 / $6,363.64 / $13,190.90	Facility		$3,442.70	$6,363.64	$13,190.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $497.10 / $787.42 / $1,863.50	Professional		$497.10	$787.42	$1,863.50
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 $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00