Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.82 / $2,075.00 / $7,017.02	Facility		$195.82	$2,075.00	$7,017.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,145.45 / $1,826.62 / $2,023.68	Facility	50	$1,145.45	$1,826.62	$2,023.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $172.53 / $240.05	Professional		$102.33	$172.53	$240.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $2,971.00 / $4,636.00	Facility		$1,529.00	$2,971.00	$4,636.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $153.38 / $229.77	Professional		$109.79	$153.38	$229.77
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.09 / $230.41 / $323.64	Professional	50	$165.09	$230.41	$323.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $176.48 / $184.52	Facility		$166.36	$176.48	$184.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $202.14 / $373.84	Professional		$119.22	$202.14	$373.84
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,221.00 / $2,883.00	Facility		$376.00	$1,221.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $245.73 / $411.18	Professional		$172.55	$245.73	$411.18