Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.27 / $4,634.00 / $16,481.65	Facility		$895.27	$4,634.00	$16,481.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,083.41 / $14,441.00 / $17,793.62	Facility	50	$5,083.41	$14,441.00	$17,793.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,895.60 / $7,723.94 / $11,736.66	Facility		$3,895.60	$7,723.94	$11,736.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,434.00 / $12,628.00	Facility		$914.00	$1,434.00	$12,628.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $621.05 / $959.82 / $2,592.23	Professional		$621.05	$959.82	$2,592.23
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 / $6,920.00 / $16,667.00	Facility		$1,520.00	$6,920.00	$16,667.00