Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.84 / $7,407.00 / $20,307.91	Facility		$1,363.84	$7,407.00	$20,307.91
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,519.00 / $5,519.00 / $8,667.37	Facility	22	$5,519.00	$5,519.00	$8,667.37
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $386.95 / $681.92 / $860.27	Facility	52	$386.95	$681.92	$860.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,903.69 / $8,344.29 / $14,982.74	Facility		$3,903.69	$8,344.29	$14,982.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $3,500.00 / $13,001.00	Facility		$1,230.00	$3,500.00	$13,001.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $792.19 / $1,223.81 / $4,052.16	Professional		$792.19	$1,223.81	$4,052.16
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 $1,520.00 / $6,934.00 / $16,667.00	Facility		$1,520.00	$6,934.00	$16,667.00