Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.18 / $2,755.00 / $5,580.00	Facility		$1,149.18	$2,755.00	$5,580.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $574.59 / $1,020.37 / $1,181.50	Facility	52	$574.59	$1,020.37	$1,181.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.56 / $12,596.32 / $25,224.13	Facility		$5,778.56	$12,596.32	$25,224.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,219.08	Facility		$400.00	$785.00	$1,219.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.61 / $1,787.68 / $4,007.03	Professional		$1,081.61	$1,787.68	$4,007.03
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 $1,702.00 / $5,820.00 / $11,479.00	Facility		$1,702.00	$5,820.00	$11,479.00