Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,348.96 / $3,467.37	Facility		$107.15	$1,348.96	$3,467.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $3,801.89 / $4,466.84	Facility	50	$1,318.26	$3,801.89	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $489.78	Professional		$102.33	$194.98	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $691.83 / $1,096.48	Professional	50	$173.78	$691.83	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $457.09	Professional		$204.17	$288.40	$457.09
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $436.52 / $691.83	Professional	50	$302.00	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $524.81	Professional		$154.88	$288.40	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $1,348.96	Facility		$107.15	$190.55	$1,348.96
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $3,235.94	Facility	50	$2,089.30	$2,089.30	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $1,023.29	Professional		$194.98	$354.81	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $2,041.74	Facility		$1,698.24	$1,819.70	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $416.87	Professional		$123.03	$229.09	$416.87