Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.93 / $1,972.00 / $5,393.00	Facility		$901.93	$1,972.00	$5,393.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,517.32 / $11,801.76 / $23,633.02	Facility		$5,517.32	$11,801.76	$23,633.02
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 $971.20 / $1,519.95 / $3,583.41	Professional		$971.20	$1,519.95	$3,583.41
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00