Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.53 / $3,749.00 / $9,900.00	Facility		$959.53	$3,749.00	$9,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $479.77 / $765.84 / $785.80	Facility	52	$479.77	$765.84	$785.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $191.91 / $306.33 / $314.32	Facility	53	$191.91	$306.33	$314.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,246.77 / $9,084.00 / $18,190.71	Facility		$4,246.77	$9,084.00	$18,190.71
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 $804.20 / $1,301.40 / $3,717.68	Professional		$804.20	$1,301.40	$3,717.68
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 $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00