Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,348.96 / $7,244.36	Facility		$354.81	$1,348.96	$7,244.36
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $338.84 / $691.83 / $891.25	Facility	54	$338.84	$691.83	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $891.25	Professional		$281.84	$436.52	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,047.13 / $1,380.38	Professional	50	$616.60	$1,047.13	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $436.52 / $794.33	Professional	54	$281.84	$436.52	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,570.88 / $10,000.00	Facility		$1,584.89	$4,570.88	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $758.58	Professional		$245.47	$371.54	$758.58
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $549.54 / $1,122.02	Professional	50	$346.74	$549.54	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $912.01 / $2,630.27	Facility		$50.12	$912.01	$2,630.27
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,000.00	Professional		$288.40	$446.68	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,071.52 / $3,467.37	Facility		$204.17	$1,071.52	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $691.83	Professional		$245.47	$354.81	$691.83