Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $1,295.36 / $5,506.00	Facility		$118.57	$1,295.36	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,767.00 / $2,767.00 / $2,767.00	Facility	50	$2,767.00	$2,767.00	$2,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $110.26 / $214.63	Professional		$60.43	$110.26	$214.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $537.44 / $537.44 / $553.89	Professional	50	$537.44	$537.44	$553.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $2,479.00 / $4,441.52	Facility		$1,399.00	$2,479.00	$4,441.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $90.38 / $162.40	Professional		$66.87	$90.38	$162.40
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.43 / $130.89 / $208.42	Professional	50	$101.43	$130.89	$208.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.59 / $476.39 / $575.38	Facility		$375.59	$476.39	$575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.71 / $133.64 / $249.47	Professional		$76.71	$133.64	$249.47
United Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $1,940.00 / $4,067.00	Facility		$788.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $159.79 / $260.82	Professional		$106.98	$159.79	$260.82