Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,622.95 / $5,430.00	Facility		$923.00	$1,622.95	$5,430.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $447.85 / $811.48 / $942.64	Facility	52	$447.85	$811.48	$942.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.85 / $9,817.68 / $19,659.90	Facility		$4,503.85	$9,817.68	$19,659.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $967.73	Facility		$400.00	$785.00	$967.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $906.42 / $1,397.80 / $3,421.14	Professional		$906.42	$1,397.80	$3,421.14
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 $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00