Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.59 / $2,758.00 / $5,580.00	Facility		$899.59	$2,758.00	$5,580.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,493.00 / $5,493.00 / $5,493.00	Facility	50	$5,493.00	$5,493.00	$5,493.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,824.30 / $8,474.77 / $18,484.55	Facility		$4,824.30	$8,474.77	$18,484.55
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 $722.55 / $1,214.89 / $3,193.85	Professional		$722.55	$1,214.89	$3,193.85
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 $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00