Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,289.00 / $5,389.00	Facility		$349.00	$1,289.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,559.54 / $3,335.92 / $6,680.17	Facility		$1,559.54	$3,335.92	$6,680.17
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 $267.99 / $438.53 / $1,587.16	Professional		$267.99	$438.53	$1,587.16
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00