Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.54 / $1,327.27 / $2,317.92	Facility		$239.54	$1,327.27	$2,317.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,194.89 / $1,790.59 / $4,399.00	Facility	50	$1,194.89	$1,790.59	$4,399.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.50 / $22.50 / $47.91	Facility	53	$22.50	$22.50	$47.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $217.18 / $672.84	Professional		$95.09	$217.18	$672.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $157.68 / $469.93 / $1,271.70	Professional	50	$157.68	$469.93	$1,271.70
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.72 / $37.08 / $50.24	Professional	53	$19.72	$37.08	$50.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $469.66 / $613.41	Professional		$218.96	$469.66	$613.41
BCBS Facility/Professional Professional Modifier 22 Low / Median / High Price $262.75 / $440.46 / $732.96	Professional	22	$262.75	$440.46	$732.96
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $328.44 / $466.01 / $916.20	Professional	50	$328.44	$466.01	$916.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $365.33 / $654.37	Professional		$171.60	$365.33	$654.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $239.54 / $1,218.75	Facility		$112.50	$239.54	$1,218.75
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,946.92 / $2,320.77 / $2,437.50	Facility	50	$1,946.92	$2,320.77	$2,437.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $437.98 / $1,052.00	Professional		$242.88	$437.98	$1,052.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $394.18 / $517.00	Professional		$242.88	$394.18	$517.00