Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,758.00 / $5,580.00	Facility		$879.00	$2,758.00	$5,580.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $572.94 / $947.96 / $1,152.27	Facility	54	$572.94	$947.96	$1,152.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $7,196.58 / $15,696.65	Facility		$3,138.27	$7,196.58	$15,696.65
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 $620.03 / $1,037.95 / $2,750.16	Professional		$620.03	$1,037.95	$2,750.16
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 $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00