Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $3,758.00 / $7,467.00	Facility		$936.00	$3,758.00	$7,467.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,314.00 / $4,507.33 / $8,739.00	Facility	50	$1,314.00	$4,507.33	$8,739.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $163.72 / $797.00	Professional		$139.41	$163.72	$797.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.14 / $660.66 / $1,225.50	Professional	50	$234.14	$660.66	$1,225.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.35 / $2,515.38 / $4,140.09	Facility		$672.35	$2,515.38	$4,140.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $141.00 / $176.25	Professional		$105.75	$141.00	$176.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.07 / $1,211.07 / $1,211.07	Facility		$1,211.07	$1,211.07	$1,211.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.03 / $195.94 / $340.86	Professional		$151.03	$195.94	$340.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $220.61 / $3,093.00	Facility		$155.41	$220.61	$3,093.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,004.35 / $5,004.35 / $5,004.35	Facility	50	$5,004.35	$5,004.35	$5,004.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $183.28 / $1,429.86	Professional		$143.22	$183.28	$1,429.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,598.00 / $2,567.00 / $5,029.00	Facility		$1,598.00	$2,567.00	$5,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $171.38 / $306.94	Professional		$141.19	$171.38	$306.94