Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $1,566.36 / $2,597.80	Facility		$263.45	$1,566.36	$2,597.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,896.70 / $3,896.70 / $3,896.70	Facility	50	$3,896.70	$3,896.70	$3,896.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $267.19 / $1,566.36	Professional		$91.23	$267.19	$1,566.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $136.88 / $136.88 / $804.00	Professional	50	$136.88	$136.88	$804.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.61 / $1,026.61 / $1,026.61	Facility		$1,026.61	$1,026.61	$1,026.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $199.00 / $199.00	Professional		$199.00	$199.00	$199.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.02 / $993.02 / $993.02	Facility		$993.02	$993.02	$993.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $422.88 / $959.45	Professional		$113.96	$422.88	$959.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.85 / $621.77 / $1,282.45	Professional		$502.85	$621.77	$1,282.45