Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $4,570.88	Facility		$1,513.56	$1,949.84	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,778.28	Professional		$602.56	$758.58	$1,778.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional	50	$1,445.44	$1,445.44	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,047.13	Professional		$467.74	$616.60	$1,047.13
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $323.59 / $436.52 / $724.44	Professional	54	$323.59	$436.52	$724.44
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $93.33 / $123.03 / $208.93	Professional	55	$93.33	$123.03	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,258.93	Professional		$501.19	$707.95	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,073.80 / $6,165.95	Facility		$1,819.70	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,071.52	Professional		$446.68	$691.83	$1,071.52