Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.70 / $1,609.00 / $5,549.00	Facility		$806.70	$1,609.00	$5,549.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $403.35 / $719.72 / $728.16	Facility	52	$403.35	$719.72	$728.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,900.03 / $12,620.40 / $25,272.35	Facility		$5,900.03	$12,620.40	$25,272.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $828.36 / $1,287.72 / $3,605.68	Professional		$828.36	$1,287.72	$3,605.68
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00