Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.39 / $1,919.00 / $6,681.00	Facility		$301.39	$1,919.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,126.41 / $1,220.65 / $1,360.25	Facility	50	$1,126.41	$1,220.65	$1,360.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.60 / $233.35 / $301.93	Facility	54	$171.60	$233.35	$301.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.91 / $294.30 / $512.52	Professional		$226.91	$294.30	$512.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.31 / $587.26 / $836.10	Professional	50	$416.31	$587.26	$836.10
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $159.37 / $209.60 / $361.33	Professional	54	$159.37	$209.60	$361.33
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $30.67 / $40.76 / $58.91	Professional	55	$30.67	$40.76	$58.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $3,373.00 / $4,707.00	Facility		$1,546.00	$3,373.00	$4,707.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.34 / $303.72 / $519.64	Professional		$213.34	$303.72	$519.64
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $305.18 / $425.85 / $706.69	Professional	50	$305.18	$425.85	$706.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $309.52 / $411.00	Facility		$196.02	$309.52	$411.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $238.23 / $238.23 / $238.23	Facility	54	$238.23	$238.23	$238.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $339.25 / $595.12	Professional		$219.16	$339.25	$595.12
United Facility/Professional Facility Modifier Low / Median / High Price $685.50 / $1,911.00 / $4,084.00	Facility		$685.50	$1,911.00	$4,084.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $327.91 / $561.71	Professional		$231.89	$327.91	$561.71