Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,691.53 / $8,912.51	Facility		$776.25	$2,691.53	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,479.11	Professional		$549.54	$741.31	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $2,137.96 / $2,398.83	Professional	50	$1,148.15	$2,137.96	$2,398.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $691.83 / $1,288.25 / $1,288.25	Professional	54	$691.83	$1,288.25	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,168.69 / $10,000.00	Facility		$1,548.82	$4,168.69	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,412.54	Professional		$524.81	$741.31	$1,412.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $776.25 / $1,071.52 / $2,041.74	Professional	50	$776.25	$1,071.52	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,096.48 / $5,128.61	Facility		$489.78	$1,096.48	$5,128.61
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	54	$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $2,041.74	Professional		$537.03	$870.96	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,691.53 / $6,165.95	Facility		$794.33	$2,691.53	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,318.26	Professional		$501.19	$707.95	$1,318.26