Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.69 / $1,731.00 / $5,389.00	Facility		$924.69	$1,731.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,695.23 / $12,182.32 / $24,395.09	Facility		$5,695.23	$12,182.32	$24,395.09
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 $885.30 / $1,379.98 / $3,505.30	Professional		$885.30	$1,379.98	$3,505.30
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 $715.30 / $2,374.00 / $4,780.00	Facility		$715.30	$2,374.00	$4,780.00