Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.77 / $2,598.00 / $7,365.00	Facility		$355.77	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.53 / $198.28 / $266.83	Facility	54	$189.53	$198.28	$266.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.71 / $301.85 / $541.50	Professional		$252.71	$301.85	$541.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $320.43 / $490.86	Professional		$264.25	$320.43	$490.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.66 / $392.69 / $649.55	Professional		$285.66	$392.69	$649.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.35 / $422.59 / $932.00	Facility		$265.35	$422.59	$932.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $972.78 / $972.78 / $972.78	Facility	54	$972.78	$972.78	$972.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.51 / $457.82 / $2,321.92	Professional		$285.51	$457.82	$2,321.92
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $376.78 / $640.38	Professional		$275.49	$376.78	$640.38