Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.71 / $99.91 / $298.64	Facility		$53.71	$99.91	$298.64
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $90.90 / $203.29 / $413.51	Facility	25	$90.90	$203.29	$413.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $48.81 / $48.81 / $48.81	Facility	50	$48.81	$48.81	$48.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $79.81 / $173.84	Professional		$48.60	$79.81	$173.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.74 / $90.19 / $205.90	Professional	25	$50.74	$90.19	$205.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.64 / $262.68 / $271.76	Professional	50	$254.64	$262.68	$271.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $170.49 / $208.00	Facility		$83.00	$170.49	$208.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $80.53 / $135.41	Professional		$55.44	$80.53	$135.41
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $48.96 / $48.96 / $48.96	Professional	25	$48.96	$48.96	$48.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $134.50 / $181.50	Facility		$91.54	$134.50	$181.50
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $85.73 / $145.21	Professional		$53.13	$85.73	$145.21
United Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $124.25 / $124.25	Facility		$124.25	$124.25	$124.25
United Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $83.67 / $144.13	Professional		$59.51	$83.67	$144.13