Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $1,775.00 / $5,570.00	Facility		$139.86	$1,775.00	$5,570.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $122.70 / $215.11	Professional		$64.41	$122.70	$215.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $71.87 / $95.66 / $167.28	Professional		$71.87	$95.66	$167.28
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.07 / $147.28 / $212.62	Professional	50	$104.07	$147.28	$212.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.49 / $494.44 / $657.54	Facility		$396.49	$494.44	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $147.73 / $269.04	Professional		$82.31	$147.73	$269.04
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 $122.45 / $185.24 / $307.06	Professional		$122.45	$185.24	$307.06