Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $635.33 / $1,091.58	Facility		$102.08	$635.33	$1,091.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $66.83 / $639.02 / $695.95	Facility	50	$66.83	$639.02	$695.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.71 / $22.71 / $30.83	Facility	52	$22.71	$22.71	$30.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $62.05 / $155.08	Professional		$41.91	$62.05	$155.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.33 / $94.73 / $384.00	Professional	50	$54.33	$94.73	$384.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $115.73 / $162.47	Professional		$89.42	$115.73	$162.47
BCBS Facility/Professional Professional Modifier 22 Low / Median / High Price $105.37 / $138.41 / $194.14	Professional	22	$105.37	$138.41	$194.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.13 / $173.01 / $243.72	Professional	50	$134.13	$173.01	$243.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $114.43 / $200.43	Professional		$67.58	$114.43	$200.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $75.04 / $280.56	Facility		$45.41	$75.04	$280.56
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $362.25 / $546.00 / $686.28	Facility	50	$362.25	$546.00	$686.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $124.95 / $229.90	Professional		$72.42	$124.95	$229.90
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $127.12 / $238.35 / $293.48	Professional	50	$127.12	$238.35	$293.48
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $112.25 / $140.54	Professional		$63.88	$112.25	$140.54