Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,696.00 / $5,091.00	Facility		$923.00	$1,696.00	$5,091.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $7,068.41 / $16,443.24	Facility		$4,134.57	$7,068.41	$16,443.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $666.77 / $1,054.83 / $2,711.29	Professional		$666.77	$1,054.83	$2,711.29
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 $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00