Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,452.00 / $5,389.00	Facility		$800.00	$1,452.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,663.70 / $8,192.65 / $17,869.22	Facility		$4,663.70	$8,192.65	$17,869.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $683.16 / $1,134.56 / $2,190.41	Professional		$683.16	$1,134.56	$2,190.41
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 $1,600.00 / $5,247.00 / $9,441.00	Facility		$1,600.00	$5,247.00	$9,441.00