Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,835.00 / $5,389.00	Facility		$630.00	$1,835.00	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,718.66 / $7,091.59 / $10,606.55	Facility		$3,718.66	$7,091.59	$10,606.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.35 / $633.72 / $1,168.56	Professional		$401.35	$633.72	$1,168.56
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 $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00