Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $3,630.78	Facility		$316.23	$588.84	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	50	$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $707.95	Professional		$288.40	$363.08	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $870.96 / $933.25	Professional	50	$467.74	$870.96	$933.25
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	55	$81.28	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $794.33	Professional		$575.44	$676.08	$794.33
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $1,000.00 / $1,202.26	Professional	50	$851.14	$1,000.00	$1,202.26
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $398.11 / $467.74 / $562.34	Professional	54	$398.11	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $977.24	Professional		$281.84	$616.60	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $707.95	Facility		$316.23	$478.63	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $2,344.23	Professional		$302.00	$616.60	$2,344.23
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $977.24 / $1,288.25	Professional	50	$645.65	$977.24	$1,288.25
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	54	$660.69	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $2,570.40	Facility		$676.08	$1,174.90	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $794.33	Professional		$302.00	$549.54	$794.33