Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.36 / $2,747.00 / $7,278.00	Facility		$286.36	$2,747.00	$7,278.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,562.36 / $3,562.36 / $4,011.22	Facility	50	$3,562.36	$3,562.36	$4,011.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $258.54 / $453.08	Professional		$146.35	$258.54	$453.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $735.13 / $1,051.77 / $1,241.35	Professional	50	$735.13	$1,051.77	$1,241.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $3,693.00 / $5,962.00	Facility		$1,787.00	$3,693.00	$5,962.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $281.14 / $478.81	Professional		$178.14	$281.14	$478.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.29 / $390.67 / $631.03	Professional	50	$251.29	$390.67	$631.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $305.68	Facility		$251.86	$251.86	$305.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $306.39 / $538.64	Professional		$180.00	$306.39	$538.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,218.00 / $5,606.00	Facility		$1,640.00	$3,218.00	$5,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.61 / $379.44 / $620.46	Professional		$270.61	$379.44	$620.46