Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.68 / $2,260.00 / $5,506.00	Facility		$189.68	$2,260.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $390.08 / $390.08 / $1,652.81	Facility	50	$390.08	$390.08	$1,652.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $97.05 / $246.33	Professional		$56.92	$97.05	$246.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.54 / $524.54 / $524.54	Professional	50	$524.54	$524.54	$524.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $771.55 / $1,261.97	Facility		$204.94	$771.55	$1,261.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $53.21 / $78.08	Professional		$41.33	$53.21	$78.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $105.98 / $222.95	Professional		$58.89	$105.98	$222.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $102.78 / $1,438.00	Facility		$56.58	$102.78	$1,438.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,572.05 / $2,572.05 / $2,572.05	Facility	50	$2,572.05	$2,572.05	$2,572.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $161.88 / $1,340.00	Professional		$96.00	$161.88	$1,340.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $138.04 / $220.19	Professional		$94.05	$138.04	$220.19