Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.00 / $3,073.00 / $8,783.00	Facility		$1,114.00	$3,073.00	$8,783.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,814.80 / $14,577.12 / $29,190.68	Facility		$6,814.80	$14,577.12	$29,190.68
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 $1,175.09 / $1,842.59 / $4,913.21	Professional		$1,175.09	$1,842.59	$4,913.21
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