Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $6,379.60	Facility		$1,017.00	$3,636.00	$6,379.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,018.90 / $36,404.08 / $72,899.17	Facility		$17,018.90	$36,404.08	$72,899.17
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 $2,948.85 / $4,593.43 / $10,358.60	Professional		$2,948.85	$4,593.43	$10,358.60
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 $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00