Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,989.00 / $7,123.00	Facility		$813.00	$2,989.00	$7,123.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.07 / $10,206.65 / $21,862.58	Facility		$4,606.07	$10,206.65	$21,862.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $18,531.82 / $20,688.55	Facility		$875.00	$18,531.82	$20,688.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.56 / $693.65 / $3,904.52	Professional		$451.56	$693.65	$3,904.52
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 $2,600.00 / $7,055.00 / $14,572.00	Facility		$2,600.00	$7,055.00	$14,572.00