Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $1,706.00 / $5,634.00	Facility		$50.73	$1,706.00	$5,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $979.00 / $1,100.00 / $2,503.50	Facility	50	$979.00	$1,100.00	$2,503.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $79.81 / $210.02	Professional		$24.50	$79.81	$210.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
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 $28.70 / $62.93 / $148.70	Professional		$28.70	$62.93	$148.70
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.62 / $75.06 / $218.14	Professional	50	$43.62	$75.06	$218.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $330.00 / $420.00	Facility		$323.00	$330.00	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $84.33 / $300.64	Professional		$33.19	$84.33	$300.64
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 $32.01 / $77.72 / $335.20	Professional		$32.01	$77.72	$335.20