Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,451.00 / $5,389.00	Facility		$630.00	$1,451.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,531.86 / $5,251.27 / $12,216.03	Facility		$2,531.86	$5,251.27	$12,216.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.45 / $832.43 / $3,349.86	Professional		$480.45	$832.43	$3,349.86
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 $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00