Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.38 / $813.00 / $3,636.00	Facility		$385.38	$813.00	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $299.77 / $511.74 / $626.44	Facility	54	$299.77	$511.74	$626.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $4,285.28 / $9,346.74	Facility		$330.07	$4,285.28	$9,346.74
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 $432.27 / $656.08 / $2,399.56	Professional		$432.27	$656.08	$2,399.56
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 $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00