Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,862.09 / $9,772.37	Facility		$275.42	$1,862.09	$9,772.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $25,118.86 / $33,113.11	Facility		$1,659.59	$25,118.86	$33,113.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $38,018.94	Facility		$1,071.52	$3,090.30	$38,018.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $602.56 / $1,071.52	Professional		$275.42	$602.56	$1,071.52
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 $3,630.78 / $18,197.01 / $45,708.82	Facility		$3,630.78	$18,197.01	$45,708.82