Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.58 / $1,501.00 / $5,958.00	Facility		$413.58	$1,501.00	$5,958.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $793.76 / $1,134.99 / $1,243.49	Facility	50	$793.76	$1,134.99	$1,243.49
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.97 / $270.08 / $415.05	Facility	54	$245.97	$270.08	$415.05
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $48.86 / $52.71 / $73.72	Facility	55	$48.86	$52.71	$73.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $346.82 / $667.03	Professional		$269.14	$346.82	$667.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.08 / $603.69 / $1,234.15	Professional	50	$436.08	$603.69	$1,234.15
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $223.15 / $277.47 / $406.52	Professional	54	$223.15	$277.47	$406.52
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $44.17 / $55.49 / $81.30	Professional	55	$44.17	$55.49	$81.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $2,479.00 / $4,441.52	Facility		$1,529.00	$2,479.00	$4,441.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $358.74 / $558.69	Professional		$276.33	$358.74	$558.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $411.08 / $517.74 / $796.78	Professional	50	$411.08	$517.74	$796.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.78 / $481.55 / $559.00	Facility		$441.78	$481.55	$559.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $355.52 / $355.52 / $355.52	Facility	54	$355.52	$355.52	$355.52
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $76.18 / $76.18 / $76.18	Facility	55	$76.18	$76.18	$76.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $395.31 / $672.60	Professional		$266.97	$395.31	$672.60
United Facility/Professional Facility Modifier Low / Median / High Price $670.50 / $1,915.00 / $4,084.00	Facility		$670.50	$1,915.00	$4,084.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $365.80 / $661.52	Professional		$278.13	$365.80	$661.52