Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $78.29 / $244.43	Facility		$33.78	$78.29	$244.43
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $87.57 / $163.88 / $286.72	Facility	25	$87.57	$163.88	$286.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $142.94 / $142.94 / $142.94	Facility	50	$142.94	$142.94	$142.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $46.60 / $95.71	Professional		$26.11	$46.60	$95.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.07 / $59.84 / $145.00	Professional	25	$33.07	$59.84	$145.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.86 / $40.86 / $40.86	Professional	50	$40.86	$40.86	$40.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $150.00 / $173.00	Facility		$83.00	$150.00	$173.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $47.38 / $82.57	Professional		$29.52	$47.38	$82.57
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $34.95 / $34.95 / $34.95	Professional	25	$34.95	$34.95	$34.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.16 / $134.50 / $180.00	Facility		$71.16	$134.50	$180.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $50.09 / $89.31	Professional		$29.25	$50.09	$89.31
United Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $52.16 / $52.16	Facility		$52.16	$52.16	$52.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $51.07 / $88.00	Professional		$37.71	$51.07	$88.00