Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.69 / $1,694.00 / $5,389.00	Facility		$286.69	$1,694.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,593.46 / $3,039.90 / $4,255.85	Facility		$1,593.46	$3,039.90	$4,255.85
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 $190.02 / $1,063.61 / $2,090.35	Professional		$190.02	$1,063.61	$2,090.35
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 $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00