Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.67 / $4,032.00 / $9,700.00	Facility		$646.67	$4,032.00	$9,700.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,008.66 / $2,008.66 / $2,008.66	Facility	50	$2,008.66	$2,008.66	$2,008.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $6,995.03 / $10,993.54	Facility		$3,441.42	$6,995.03	$10,993.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,146.00 / $12,155.00	Facility		$875.00	$12,146.00	$12,155.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.76 / $653.78 / $2,180.76	Professional		$414.76	$653.78	$2,180.76
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 $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00