Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.37 / $4,519.86 / $9,694.76	Facility		$1,343.37	$4,519.86	$9,694.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,871.81 / $5,073.52 / $5,073.52	Facility	50	$3,871.81	$5,073.52	$5,073.52
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $610.95 / $706.20 / $887.90	Facility	54	$610.95	$706.20	$887.90
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $122.19 / $141.24 / $177.58	Facility	55	$122.19	$141.24	$177.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $935.45 / $1,765.63	Professional		$744.13	$935.45	$1,765.63
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $553.67 / $684.45 / $981.98	Professional	54	$553.67	$684.45	$981.98
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $107.51 / $136.88 / $194.68	Professional	55	$107.51	$136.88	$194.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,555.00 / $4,133.00 / $8,876.00	Facility		$2,555.00	$4,133.00	$8,876.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.20 / $1,037.46 / $1,556.63	Professional		$726.20	$1,037.46	$1,556.63
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Professional	54	$2,000.00	$2,000.00	$2,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,347.00 / $1,685.80	Facility		$1,277.64	$1,347.00	$1,685.80
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $577.02 / $577.02 / $577.02	Facility	54	$577.02	$577.02	$577.02
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $123.65 / $123.65 / $123.65	Facility	55	$123.65	$123.65	$123.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.33 / $1,076.58 / $1,937.03	Professional		$705.33	$1,076.58	$1,937.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,666.50 / $3,885.00 / $7,719.00	Facility		$1,666.50	$3,885.00	$7,719.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.55 / $987.54 / $1,669.79	Professional		$712.55	$987.54	$1,669.79