Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $1,380.38 / $3,548.13	Facility		$60.26	$1,380.38	$3,548.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	50	$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $407.38	Professional		$56.23	$154.88	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $190.55 / $1,000.00	Professional	50	$81.28	$190.55	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $562.34	Professional		$112.20	$165.96	$562.34
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $245.47 / $851.14	Professional	50	$169.82	$245.47	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $645.65	Professional		$85.11	$177.83	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $181.97 / $1,230.27	Facility		$60.26	$181.97	$1,230.27
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $912.01 / $1,819.70	Facility	50	$776.25	$912.01	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $891.25	Professional		$190.55	$316.23	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,041.74	Facility		$1,819.70	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $467.74	Professional		$72.44	$162.18	$467.74