Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $93.33 / $316.23	Facility		$48.98	$93.33	$316.23
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $67.61 / $213.80 / $549.54	Facility	25	$67.61	$213.80	$549.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	50	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $194.98	Professional		$51.29	$85.11	$194.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.48 / $89.13 / $208.93	Professional	25	$52.48	$89.13	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $263.03 / $269.15	Professional	50	$123.03	$263.03	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $75.86	Facility		$54.95	$69.18	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $69.18 / $123.03	Professional		$1.00	$69.18	$123.03
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	25	$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $239.88	Facility		$102.33	$141.25	$239.88
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	22	$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	62	$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	AS	$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $165.96	Professional		$51.29	$83.18	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $54.95 / $89.13	Facility		$37.15	$54.95	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $120.23	Professional		$44.67	$69.18	$120.23