Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,731.78 / $4,634.00	Facility		$813.00	$1,731.78	$4,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $300.36 / $541.35 / $624.23	Facility	52	$300.36	$541.35	$624.23
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $450.53 / $812.03 / $936.34	Facility	54	$450.53	$812.03	$936.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,440.11 / $14,046.69	Facility		$2,202.15	$6,440.11	$14,046.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.72 / $979.61 / $2,276.41	Professional		$669.72	$979.61	$2,276.41
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 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00