Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.60 / $849.00 / $5,389.00	Facility		$243.60	$849.00	$5,389.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.28 / $134.46 / $259.11	Facility	53	$60.28	$134.46	$259.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.01 / $1,378.05 / $2,982.66	Facility		$668.01	$1,378.05	$2,982.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $480.00 / $1,000.00	Facility		$263.52	$480.00	$1,000.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $445.94 / $1,155.41	Professional		$212.18	$445.94	$1,155.41
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 $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00