Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,566.40 / $5,430.00	Facility		$1,159.00	$3,566.40	$5,430.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $980.21 / $1,783.20 / $2,049.61	Facility	52	$980.21	$1,783.20	$2,049.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,857.69 / $21,488.16 / $43,030.04	Facility		$9,857.69	$21,488.16	$43,030.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,094.52	Facility		$400.00	$785.00	$2,094.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.96 / $3,026.61 / $6,985.46	Professional		$1,935.96	$3,026.61	$6,985.46
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 $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00