Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,290.87 / $7,762.47	Facility		$457.09	$2,290.87	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,202.26 / $3,467.37	Facility	50	$741.31	$1,202.26	$3,467.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	54	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $831.76	Professional		$281.84	$371.54	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $724.44 / $1,819.70	Professional	50	$407.38	$724.44	$1,819.70
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $346.74 / $630.96	Professional	54	$239.88	$346.74	$630.96
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $53.70 / $63.10 / $389.05	Professional	55	$53.70	$63.10	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $10,000.00	Facility		$1,584.89	$4,365.16	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $724.44	Professional		$257.04	$363.08	$724.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $537.03 / $1,047.13	Professional	50	$380.19	$537.03	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,202.26 / $2,511.89	Facility		$407.38	$1,202.26	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	55	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $1,000.00	Professional		$269.15	$436.52	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,862.09 / $4,677.35	Facility		$467.74	$1,862.09	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $660.69	Professional		$251.19	$346.74	$660.69