Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,289.00 / $5,430.00	Facility		$630.00	$1,289.00	$5,430.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.47 / $686.87 / $791.43	Facility	54	$377.47	$686.87	$791.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $5,395.67 / $11,768.65	Facility		$2,202.15	$5,395.67	$11,768.65
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 $561.25 / $827.29 / $1,952.24	Professional		$561.25	$827.29	$1,952.24
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