Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.72 / $1,463.50 / $5,925.96	Facility		$136.72	$1,463.50	$5,925.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,066.14 / $1,066.14 / $1,066.14	Facility	50	$1,066.14	$1,066.14	$1,066.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $116.07 / $208.62	Professional		$60.25	$116.07	$208.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $207.42 / $207.42 / $207.42	Professional	50	$207.42	$207.42	$207.42
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 $62.66 / $89.13 / $148.13	Professional		$62.66	$89.13	$148.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $96.08 / $125.28 / $209.45	Professional	50	$96.08	$125.28	$209.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.08 / $494.44 / $575.38	Facility		$404.08	$494.44	$575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.96 / $142.78 / $268.93	Professional		$75.96	$142.78	$268.93
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 $121.47 / $184.13 / $299.41	Professional		$121.47	$184.13	$299.41