Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,232.00 / $8,985.00	Facility		$755.00	$2,232.00	$8,985.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $126.08 / $198.96 / $353.68	Facility	53	$126.08	$198.96	$353.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,595.42 / $10,422.29 / $17,782.11	Facility		$4,595.42	$10,422.29	$17,782.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $525.05 / $864.93 / $1,887.71	Professional		$525.05	$864.93	$1,887.71
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 $2,655.00 / $12,190.00 / $35,962.00	Facility		$2,655.00	$12,190.00	$35,962.00