Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.37 / $3,250.00 / $24,270.24	Facility		$816.37	$3,250.00	$24,270.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $285.60 / $454.12 / $467.34	Facility	52	$285.60	$454.12	$467.34
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $114.24 / $181.65 / $186.94	Facility	53	$114.24	$181.65	$186.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,528.05 / $5,407.60 / $10,828.71	Facility		$2,528.05	$5,407.60	$10,828.71
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 $475.02 / $783.09 / $1,785.32	Professional		$475.02	$783.09	$1,785.32
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