Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,148.00 / $8,806.00	Facility		$1,017.00	$3,148.00	$8,806.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,864.65 / $12,544.72 / $25,120.80	Facility		$5,864.65	$12,544.72	$25,120.80
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 $1,038.60 / $1,605.12 / $5,049.60	Professional		$1,038.60	$1,605.12	$5,049.60
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 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00