Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $2,989.00 / $9,666.70	Facility		$974.00	$2,989.00	$9,666.70
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $0.33 / $0.33 / $0.33	Facility	22	$0.33	$0.33	$0.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,681.94 / $14,325.77 / $22,643.26	Facility		$6,681.94	$14,325.77	$22,643.26
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 $1,046.54 / $1,664.95 / $4,774.29	Professional		$1,046.54	$1,664.95	$4,774.29
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 $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00