Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $8,089.00	Facility		$923.00	$2,989.00	$8,089.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,811.57 / $6,655.44 / $15,482.56	Facility		$3,811.57	$6,655.44	$15,482.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $1,102.16 / $3,464.53	Professional		$713.16	$1,102.16	$3,464.53
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 $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00