Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,349.19 / $5,405.00	Facility		$1,207.00	$2,349.19	$5,405.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $655.03 / $1,174.59 / $1,345.78	Facility	52	$655.03	$1,174.59	$1,345.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $262.01 / $469.84 / $538.30	Facility	53	$262.01	$469.84	$538.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,587.46 / $14,359.60 / $28,755.09	Facility		$6,587.46	$14,359.60	$28,755.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,391.39	Facility		$400.00	$785.00	$1,391.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.09 / $2,035.20 / $5,266.82	Professional		$1,288.09	$2,035.20	$5,266.82
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 $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00