Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $4,135.28 / $9,119.90	Facility		$924.00	$4,135.28	$9,119.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,169.00 / $3,281.00 / $5,512.66	Facility	50	$2,169.00	$3,281.00	$5,512.66
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.26 / $123.03 / $320.13	Facility	52	$105.26	$123.03	$320.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.11 / $49.21 / $128.05	Facility	53	$42.11	$49.21	$128.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $254.91 / $640.25	Professional		$150.46	$254.91	$640.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $382.37 / $382.37 / $382.37	Professional	50	$382.37	$382.37	$382.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,310.03 / $4,064.96 / $5,718.14	Facility		$3,310.03	$4,064.96	$5,718.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.22 / $400.22 / $651.10	Professional		$400.22	$400.22	$651.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,724.00 / $9,724.00 / $9,724.00	Facility		$9,724.00	$9,724.00	$9,724.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $439.71 / $851.64	Professional		$175.71	$439.71	$851.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.06 / $570.00 / $5,562.00	Facility		$176.06	$570.00	$5,562.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.10 / $652.71 / $4,715.39	Professional		$452.10	$652.71	$4,715.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $3,096.00 / $5,565.00	Facility		$1,436.00	$3,096.00	$5,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.89 / $538.64 / $832.25	Professional		$425.89	$538.64	$832.25