Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $1,211.14 / $1,812.72	Facility		$60.39	$1,211.14	$1,812.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,628.27 / $2,628.27 / $2,628.27	Facility	50	$2,628.27	$2,628.27	$2,628.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $87.28 / $158.00	Professional		$55.09	$87.28	$158.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.18 / $407.18 / $545.40	Professional	50	$407.18	$407.18	$545.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $161.52 / $242.05	Professional		$117.04	$161.52	$242.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $175.56 / $236.00 / $363.08	Professional	50	$175.56	$236.00	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $151.97 / $308.66	Professional		$89.76	$151.97	$308.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $99.05 / $194.82	Facility		$60.39	$99.05	$194.82
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,271.18 / $1,271.18 / $1,271.18	Facility	50	$1,271.18	$1,271.18	$1,271.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $176.33 / $575.00	Professional		$102.83	$176.33	$575.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $173.74 / $215.95	Professional		$98.16	$173.74	$215.95