Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.19 / $2,700.00 / $5,091.00	Facility		$328.19	$2,700.00	$5,091.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.87 / $188.21 / $220.20	Facility	52	$97.87	$188.21	$220.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,511.37 / $3,789.52	Facility		$1,179.36	$2,511.37	$3,789.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,300.00 / $2,769.00	Facility		$400.00	$1,300.00	$2,769.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.20 / $326.31 / $1,227.81	Professional		$218.20	$326.31	$1,227.81
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 $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00