Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.10 / $1,092.00 / $2,825.00	Facility		$515.10	$1,092.00	$2,825.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,036.63 / $3,145.82 / $38,316.93	Facility	50	$3,036.63	$3,145.82	$38,316.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.09 / $616.91 / $1,137.75	Professional		$458.09	$616.91	$1,137.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $150.13 / $1,737.00 / $1,816.50	Professional	50	$150.13	$1,737.00	$1,816.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.94 / $1,065.94 / $1,065.94	Facility		$1,065.94	$1,065.94	$1,065.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,116.00 / $1,116.00	Professional		$1,116.00	$1,116.00	$1,116.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.96 / $1,014.96 / $2,447.41	Facility		$1,014.96	$1,014.96	$2,447.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.35 / $813.72 / $1,095.65	Professional		$446.35	$813.72	$1,095.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.99 / $661.90 / $1,294.57	Professional		$534.99	$661.90	$1,294.57