Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.76 / $1,223.00 / $2,250.00	Facility		$257.76	$1,223.00	$2,250.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,418.00 / $5,543.70 / $5,543.70	Facility	50	$2,418.00	$5,543.70	$5,543.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $257.77 / $347.98	Professional		$141.99	$257.77	$347.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,014.54 / $1,228.18 / $1,652.30	Facility		$1,014.54	$1,228.18	$1,652.30
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,521.81 / $1,842.27 / $2,478.44	Facility	50	$1,521.81	$1,842.27	$2,478.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $290.70 / $343.03	Professional		$212.21	$290.70	$343.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $208.94 / $579.75	Professional		$154.38	$208.94	$579.75
United Facility/Professional Facility Modifier Low / Median / High Price $834.00 / $2,891.00 / $4,402.00	Facility		$834.00	$2,891.00	$4,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $171.28 / $260.99	Professional		$122.34	$171.28	$260.99