Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.95 / $1,486.00 / $4,634.00	Facility		$302.95	$1,486.00	$4,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.26 / $1,726.19 / $3,566.59	Facility		$1,067.26	$1,726.19	$3,566.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $929.98 / $1,038.21	Facility		$620.00	$929.98	$1,038.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $459.27 / $1,238.28	Professional		$216.68	$459.27	$1,238.28
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 $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00