Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $1,229.92 / $5,717.00	Facility		$92.33	$1,229.92	$5,717.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $643.16 / $1,109.86 / $1,580.35	Facility	50	$643.16	$1,109.86	$1,580.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $80.40 / $151.47	Professional		$47.82	$80.40	$151.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.75 / $142.82 / $403.76	Professional	50	$106.75	$142.82	$403.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,991.00 / $2,956.00	Facility		$1,000.00	$1,991.00	$2,956.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $72.09 / $114.49	Professional		$49.18	$72.09	$114.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.21 / $101.34 / $149.95	Professional	50	$75.21	$101.34	$149.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $284.32 / $606.10	Facility		$243.30	$284.32	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $103.86 / $179.82	Professional		$62.04	$103.86	$179.82
United Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $1,158.00 / $2,720.00	Facility		$293.00	$1,158.00	$2,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $120.20 / $202.29	Professional		$82.09	$120.20	$202.29