Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $1,238.00 / $2,597.80	Facility		$252.90	$1,238.00	$2,597.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,390.50 / $3,896.70 / $3,896.70	Facility	50	$1,390.50	$3,896.70	$3,896.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $425.26 / $1,134.14	Professional		$101.43	$425.26	$1,134.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,014.42 / $2,438.62 / $3,280.73	Facility		$2,014.42	$2,438.62	$3,280.73
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,021.64 / $3,657.94 / $4,921.10	Facility	50	$3,021.64	$3,657.94	$4,921.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $398.98 / $672.56	Professional		$98.87	$398.98	$672.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $403.26 / $930.28	Professional		$108.88	$403.26	$930.28
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,213.00 / $2,488.00	Facility		$375.00	$1,213.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.32 / $520.61 / $845.05	Professional		$422.32	$520.61	$845.05