Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,188.48 / $5,430.00	Facility		$1,159.00	$3,188.48	$5,430.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $882.48 / $1,594.24 / $1,823.16	Facility	52	$882.48	$1,594.24	$1,823.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,874.94 / $19,345.91 / $38,740.19	Facility		$8,874.94	$19,345.91	$38,740.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,874.42	Facility		$400.00	$785.00	$1,874.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.43 / $2,784.02 / $5,919.18	Professional		$1,801.43	$2,784.02	$5,919.18
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