Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,055.00 / $4,634.00	Facility		$463.00	$1,055.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.73 / $555.14 / $659.59	Facility	54	$313.73	$555.14	$659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,484.60 / $9,781.51	Facility		$2,118.73	$4,484.60	$9,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.67 / $684.45 / $1,336.51	Professional		$448.67	$684.45	$1,336.51
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 $1,095.00 / $2,622.00 / $5,026.00	Facility		$1,095.00	$2,622.00	$5,026.00