Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.51 / $1,791.00 / $6,681.00	Facility		$221.51	$1,791.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,709.00 / $1,709.00 / $2,147.00	Facility	50	$1,709.00	$1,709.00	$2,147.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $208.60 / $443.40	Professional		$74.30	$208.60	$443.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $150.00 / $1,676.00	Facility		$110.00	$150.00	$1,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $211.20 / $518.80	Professional		$99.72	$211.20	$518.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $138.81 / $299.93	Facility		$96.01	$138.81	$299.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $211.57 / $490.86	Professional		$86.73	$211.57	$490.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $559.28 / $559.28	Facility		$55.00	$559.28	$559.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.01 / $2,532.38 / $2,809.18	Professional		$1,127.01	$2,532.38	$2,809.18
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $814.00 / $2,495.00	Facility		$296.00	$814.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.67 / $353.00 / $673.55	Professional		$251.67	$353.00	$673.55