Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $59.40 / $295.77	Facility		$47.41	$59.40	$295.77
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $59.54 / $59.54 / $59.54	Facility	50	$59.54	$59.54	$59.54
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.48 / $16.48 / $23.71	Facility	52	$16.48	$16.48	$23.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $47.03 / $129.94	Professional		$27.07	$47.03	$129.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.67 / $268.77 / $454.00	Professional	50	$165.67	$268.77	$454.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.61 / $23.38 / $23.71	Professional	52	$15.61	$23.38	$23.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $81.93 / $118.86	Professional		$63.12	$81.93	$118.86
BCBS Facility/Professional Professional Modifier 22 Low / Median / High Price $74.38 / $98.03 / $140.22	Professional	22	$74.38	$98.03	$140.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $81.43 / $148.74	Professional		$46.40	$81.43	$148.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $47.41 / $142.22	Facility		$32.97	$47.41	$142.22
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $486.07 / $486.07 / $486.07	Facility	50	$486.07	$486.07	$486.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $91.54 / $123.24	Professional		$49.08	$91.54	$123.24
United Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $97.50 / $131.16	Professional		$53.63	$97.50	$131.16