Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,755.00 / $5,549.00	Facility		$879.00	$2,755.00	$5,549.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $410.52 / $734.17 / $850.91	Facility	52	$410.52	$734.17	$850.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.52 / $8,999.52 / $18,021.53	Facility		$4,128.52	$8,999.52	$18,021.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $908.00	Facility		$400.00	$785.00	$908.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $846.95 / $1,303.00 / $3,570.26	Professional		$846.95	$1,303.00	$3,570.26
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 $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00