Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,492.48 / $5,430.00	Facility		$1,159.00	$3,492.48	$5,430.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $965.88 / $1,746.24 / $1,999.16	Facility	52	$965.88	$1,746.24	$1,999.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,713.64 / $21,174.16 / $42,401.25	Facility		$9,713.64	$21,174.16	$42,401.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,054.82	Facility		$400.00	$785.00	$2,054.82
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,815.60 / $2,955.55 / $6,371.31	Professional		$1,815.60	$2,955.55	$6,371.31
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