Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $1,622.61 / $2,500.00	Facility		$307.14	$1,622.61	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.51 / $1,055.70 / $1,863.04	Professional		$278.51	$1,055.70	$1,863.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $686.43 / $686.43 / $686.43	Professional	50	$686.43	$686.43	$686.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.35 / $917.07 / $4,192.02	Professional		$646.35	$917.07	$4,192.02
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $969.53 / $1,375.61 / $6,171.00	Professional	50	$969.53	$1,375.61	$6,171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.14 / $1,452.27 / $4,288.79	Professional		$391.14	$1,452.27	$4,288.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.84 / $1,546.65 / $3,216.57	Facility		$397.84	$1,546.65	$3,216.57
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $14,656.10 / $14,656.10 / $14,656.10	Facility	50	$14,656.10	$14,656.10	$14,656.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,760.33 / $3,574.82 / $12,114.16	Professional		$1,760.33	$3,574.82	$12,114.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.77 / $2,925.22 / $4,478.39	Professional		$1,646.77	$2,925.22	$4,478.39