Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,842.00 / $6,579.98	Facility		$471.00	$1,842.00	$6,579.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $160.91 / $309.93 / $362.06	Facility	52	$160.91	$309.93	$362.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $64.37 / $123.97 / $144.82	Facility	53	$64.37	$123.97	$144.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.05 / $4,934.22 / $6,940.36	Facility		$2,068.05	$4,934.22	$6,940.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,300.00 / $9,951.00	Facility		$400.00	$1,300.00	$9,951.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.26 / $523.02 / $1,565.51	Professional		$346.26	$523.02	$1,565.51
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 $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00