Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,466.84 / $11,220.18	Facility		$776.25	$4,466.84	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.81 / $6,025.60 / $11,220.18	Facility	50	$1,621.81	$6,025.60	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Professional		$436.52	$660.69	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $1,778.28 / $4,168.69	Professional	50	$316.23	$1,778.28	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $14,791.08	Facility		$2,630.27	$7,585.78	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,202.26	Professional		$416.87	$645.65	$1,202.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $933.25 / $1,737.80	Professional	50	$616.60	$933.25	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $4,897.79	Facility		$602.56	$1,380.38	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,778.28	Professional		$436.52	$741.31	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,168.69 / $9,549.93	Facility		$1,445.44	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,148.15	Professional		$398.11	$616.60	$1,148.15