Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.78 / $2,758.00 / $9,794.60	Facility		$802.78	$2,758.00	$9,794.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,124.13 / $1,124.13 / $1,124.13	Facility	50	$1,124.13	$1,124.13	$1,124.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,330.80 / $6,216.31 / $12,762.15	Facility		$3,330.80	$6,216.31	$12,762.15
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 $502.02 / $776.94 / $1,535.12	Professional		$502.02	$776.94	$1,535.12
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 $1,282.00 / $3,751.00 / $6,874.00	Facility		$1,282.00	$3,751.00	$6,874.00