Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,451.00 / $5,389.00	Facility		$630.00	$1,451.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,411.02 / $6,356.91 / $13,069.53	Facility		$3,411.02	$6,356.91	$13,069.53
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 $527.48 / $820.00 / $1,919.17	Professional		$527.48	$820.00	$1,919.17
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 $1,165.00 / $3,581.00 / $6,514.00	Facility		$1,165.00	$3,581.00	$6,514.00