Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,096.48 / $6,165.95	Facility		$104.71	$1,096.48	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $407.38 / $1,202.26 / $3,801.89	Facility	50	$407.38	$1,202.26	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $346.74	Professional		$57.54	$114.82	$346.74
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	22	$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $263.03 / $676.08	Professional	50	$123.03	$263.03	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,248.07 / $12,302.69	Facility		$1,584.89	$5,248.07	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $194.98	Professional		$58.88	$102.33	$194.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $151.36 / $288.40	Professional	50	$85.11	$151.36	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $158.49 / $741.31	Facility		$57.54	$158.49	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $239.88	Professional		$67.61	$114.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,071.52 / $3,467.37	Facility		$234.42	$1,071.52	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $173.78	Professional		$56.23	$93.33	$173.78