Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.78 / $4,232.00 / $14,946.65	Facility		$873.78	$4,232.00	$14,946.65
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $292.77 / $436.89 / $436.89	Facility	52	$292.77	$436.89	$436.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $117.11 / $174.76 / $174.76	Facility	53	$117.11	$174.76	$174.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,951.57 / $8,581.54 / $15,487.86	Facility		$4,951.57	$8,581.54	$15,487.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,429.00 / $14,000.00 / $19,116.00	Facility		$7,429.00	$14,000.00	$19,116.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $544.60 / $817.28 / $2,631.74	Professional		$544.60	$817.28	$2,631.74
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 / $9,655.00 / $23,090.00	Facility		$1,520.00	$9,655.00	$23,090.00