Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,289.00 / $5,389.00	Facility		$463.00	$1,289.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,064.29 / $4,415.60 / $8,842.23	Facility		$2,064.29	$4,415.60	$8,842.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $368.66 / $563.79 / $1,729.73	Professional		$368.66	$563.79	$1,729.73
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 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00