Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.45 / $1,842.00 / $9,529.09	Facility		$385.45	$1,842.00	$9,529.09
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.29 / $192.73 / $223.45	Facility	52	$102.29	$192.73	$223.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $40.92 / $77.09 / $89.38	Facility	53	$40.92	$77.09	$89.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,511.37 / $3,960.63	Facility		$1,179.36	$2,511.37	$3,960.63
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 $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.53 / $339.87 / $1,287.09	Professional		$230.53	$339.87	$1,287.09
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