Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $1,694.00 / $5,389.00	Facility		$77.28	$1,694.00	$5,389.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.50 / $38.64 / $45.66	Facility	52	$20.50	$38.64	$45.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.19 / $15.46 / $18.26	Facility	53	$8.19	$15.46	$18.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.48 / $528.28 / $793.82	Facility		$263.48	$528.28	$793.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $50.00 / $1,000.00	Facility		$45.46	$50.00	$1,000.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $69.59 / $269.66	Professional		$46.40	$69.59	$269.66
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 $214.00 / $891.00 / $3,357.00	Facility		$214.00	$891.00	$3,357.00