Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.37 / $1,696.00 / $5,389.00	Facility		$487.37	$1,696.00	$5,389.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.84 / $243.68 / $282.45	Facility	52	$126.84	$243.68	$282.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.73 / $97.47 / $112.98	Facility	53	$50.73	$97.47	$112.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.28 / $2,150.92 / $4,911.16	Facility		$1,032.28	$2,150.92	$4,911.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $785.00 / $1,231.60	Facility		$283.45	$785.00	$1,231.60
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.31 / $410.23 / $1,602.66	Professional		$279.31	$410.23	$1,602.66
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