Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $3,437.00 / $6,329.00	Facility		$936.00	$3,437.00	$6,329.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $722.75 / $1,521.50 / $3,733.50	Facility	50	$722.75	$1,521.50	$3,733.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.98 / $320.54 / $1,275.00	Professional		$261.98	$320.54	$1,275.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $202.35 / $728.37 / $2,163.13	Professional	50	$202.35	$728.37	$2,163.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.35 / $2,531.19 / $4,140.09	Facility		$672.35	$2,531.19	$4,140.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.46 / $216.61 / $270.76	Professional		$162.46	$216.61	$270.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,469.03 / $4,469.03 / $4,469.03	Facility		$4,469.03	$4,469.03	$4,469.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.93 / $341.58 / $578.97	Professional		$260.93	$341.58	$578.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.39 / $413.01 / $3,801.00	Facility		$276.39	$413.01	$3,801.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,808.28 / $1,808.28 / $2,463.86	Facility	50	$1,808.28	$1,808.28	$2,463.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.91 / $342.45 / $5,305.00	Professional		$260.91	$342.45	$5,305.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,381.00 / $3,533.00 / $5,838.00	Facility		$2,381.00	$3,533.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $330.13 / $570.37	Professional		$258.74	$330.13	$570.37