Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.06 / $579.70 / $3,636.00	Facility		$157.06	$579.70	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $70.81 / $122.88 / $159.21	Facility	54	$70.81	$122.88	$159.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,012.43 / $2,208.25	Facility		$330.07	$1,012.43	$2,208.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $149.79 / $167.22	Facility		$149.79	$149.79	$167.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $195.02 / $423.51	Professional		$129.35	$195.02	$423.51
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 $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00