Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $2,758.00 / $5,580.00	Facility		$523.00	$2,758.00	$5,580.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.00 / $2,442.80 / $4,891.70	Facility		$1,142.00	$2,442.80	$4,891.70
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 $124.76 / $206.78 / $1,929.70	Professional		$124.76	$206.78	$1,929.70
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 $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00