Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.77 / $4,146.00 / $8,828.00	Facility		$937.77	$4,146.00	$8,828.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,797.91 / $3,797.91 / $3,797.91	Facility	50	$3,797.91	$3,797.91	$3,797.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $711.16 / $1,055.05	Professional		$565.32	$711.16	$1,055.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $5,196.00 / $10,517.23	Facility		$3,302.10	$5,196.00	$10,517.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.41 / $739.11 / $1,217.02	Professional		$569.41	$739.11	$1,217.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.00 / $1,005.81 / $1,832.32	Facility		$848.00	$1,005.81	$1,832.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.05 / $801.22 / $1,342.86	Professional		$559.05	$801.22	$1,342.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.50 / $9,332.00	Facility		$2,155.00	$4,983.50	$9,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.72 / $723.31 / $1,282.22	Professional		$564.72	$723.31	$1,282.22