Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,221.00 / $12,398.52	Facility		$1,272.00	$3,221.00	$12,398.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $813.21 / $1,473.23 / $1,698.84	Facility	52	$813.21	$1,473.23	$1,698.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,178.30 / $17,827.36 / $35,699.28	Facility		$8,178.30	$17,827.36	$35,699.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,742.51	Facility		$400.00	$785.00	$1,742.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,669.71 / $2,586.19 / $5,888.55	Professional		$1,669.71	$2,586.19	$5,888.55
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 $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00