Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.34 / $4,376.00 / $12,154.00	Facility		$249.34	$4,376.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $177.63 / $295.93	Professional		$116.47	$177.63	$295.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $287.04 / $482.64 / $525.57	Professional	50	$287.04	$482.64	$525.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $626.66 / $877.26	Facility		$396.00	$626.66	$877.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $372.00	Professional		$250.00	$250.00	$372.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,619.00 / $4,619.00 / $4,619.00	Facility		$4,619.00	$4,619.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $234.22 / $352.82	Professional		$139.18	$234.22	$352.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $220.47 / $610.08	Facility		$116.47	$220.47	$610.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $289.60 / $1,506.00	Professional		$203.33	$289.60	$1,506.00
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.58 / $230.50 / $377.27	Professional		$200.58	$230.50	$377.27