Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,176.00 / $5,430.00	Facility		$1,129.00	$3,176.00	$5,430.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $873.02 / $1,588.00 / $1,825.95	Facility	52	$873.02	$1,588.00	$1,825.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,779.74 / $19,138.40 / $38,324.64	Facility		$8,779.74	$19,138.40	$38,324.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,873.50	Facility		$400.00	$785.00	$1,873.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,800.80 / $2,770.46 / $6,403.01	Professional		$1,800.80	$2,770.46	$6,403.01
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