Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.05 / $1,289.00 / $4,634.00	Facility		$345.05	$1,289.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $142.63 / $258.79 / $283.75	Facility	54	$142.63	$258.79	$283.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,038.80 / $4,446.88	Facility		$330.07	$2,038.80	$4,446.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.42 / $343.62 / $1,412.57	Professional		$218.42	$343.62	$1,412.57
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 $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00