Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $103.71 / $8,500.00	Facility		$99.38	$103.71	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $95.71 / $163.71	Professional		$83.64	$95.71	$163.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.80 / $49.80 / $49.80	Professional	50	$49.80	$49.80	$49.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $215.55 / $253.59	Professional		$196.60	$215.55	$253.59
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.54 / $322.79 / $380.10	Professional	50	$288.54	$322.79	$380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $195.40 / $315.41	Professional		$91.00	$195.40	$315.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $168.95 / $221.45	Facility		$99.38	$168.95	$221.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $184.00 / $747.84	Professional		$105.38	$184.00	$747.84
United Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $271.00 / $271.00	Facility		$271.00	$271.00	$271.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $164.10 / $244.31	Professional		$102.26	$164.10	$244.31