Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $1,473.20 / $5,691.00	Facility		$103.12	$1,473.20	$5,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $811.87 / $1,116.35 / $1,558.38	Facility	50	$811.87	$1,116.35	$1,558.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $95.41 / $169.12	Professional		$57.83	$95.41	$169.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $117.94 / $524.54	Professional	50	$91.74	$117.94	$524.54
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 $57.57 / $83.05 / $130.50	Professional		$57.57	$83.05	$130.50
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.83 / $116.37 / $171.24	Professional	50	$87.83	$116.37	$171.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.53 / $384.58 / $470.07	Facility		$343.53	$384.58	$470.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $127.79 / $240.95	Professional		$71.81	$127.79	$240.95
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 $95.28 / $161.09 / $253.75	Professional		$95.28	$161.09	$253.75