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 / $5,405.00	Facility		$630.00	$1,451.00	$5,405.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,216.63 / $8,644.29 / $13,163.96	Facility		$4,216.63	$8,644.29	$13,163.96
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 $581.42 / $902.83 / $3,302.83	Professional		$581.42	$902.83	$3,302.83
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 $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00