Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,289.00 / $5,389.00	Facility		$538.00	$1,289.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,124.17 / $6,946.89 / $11,970.42	Facility		$3,124.17	$6,946.89	$11,970.42
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 $490.22 / $779.89 / $1,858.96	Professional		$490.22	$779.89	$1,858.96
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 $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00