Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,578.00 / $7,500.00	Facility		$625.00	$3,578.00	$7,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $735.70 / $4,931.25 / $4,931.25	Facility	50	$735.70	$4,931.25	$4,931.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $66.44 / $105.98	Professional		$47.15	$66.44	$105.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $528.00 / $528.00 / $528.00	Professional	50	$528.00	$528.00	$528.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.61 / $1,793.27 / $2,797.65	Facility		$1,143.61	$1,793.27	$2,797.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.37 / $97.08	Professional		$53.70	$72.37	$97.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $57.87 / $57.87	Facility		$57.87	$57.87	$57.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $97.89 / $162.47	Professional		$56.36	$97.89	$162.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $93.82 / $1,130.00	Facility		$49.52	$93.82	$1,130.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $730.76 / $730.76 / $730.76	Facility	50	$730.76	$730.76	$730.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $102.00 / $1,157.00	Professional		$63.50	$102.00	$1,157.00
United Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $678.00 / $1,582.00	Facility		$160.40	$678.00	$1,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $93.39 / $130.05	Professional		$62.01	$93.39	$130.05