Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,570.77 / $5,549.00	Facility		$1,159.00	$2,570.77	$5,549.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $716.93 / $1,285.39 / $1,595.88	Facility	52	$716.93	$1,285.39	$1,595.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,209.97 / $15,716.56 / $31,472.41	Facility		$7,209.97	$15,716.56	$31,472.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,526.26	Facility		$400.00	$785.00	$1,526.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.01 / $2,270.28 / $5,112.08	Professional		$1,469.01	$2,270.28	$5,112.08
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