Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,836.00 / $7,123.00	Facility		$1,159.00	$2,836.00	$7,123.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,513.62 / $18,210.96 / $36,467.44	Facility		$8,513.62	$18,210.96	$36,467.44
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 $1,415.40 / $2,239.86 / $4,634.10	Professional		$1,415.40	$2,239.86	$4,634.10
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 $785.00 / $3,064.00 / $6,650.00	Facility		$785.00	$3,064.00	$6,650.00