Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.91 / $2,598.00 / $7,365.00	Facility		$286.91	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $153.63 / $155.51 / $215.18	Facility	54	$153.63	$155.51	$215.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $244.43 / $436.92	Professional		$201.12	$244.43	$436.92
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 $200.71 / $254.73 / $375.94	Professional		$200.71	$254.73	$375.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.07 / $301.76 / $493.70	Professional		$232.07	$301.76	$493.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.61 / $338.94 / $932.00	Facility		$209.61	$338.94	$932.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $793.71 / $793.71 / $793.71	Facility	54	$793.71	$793.71	$793.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $351.33 / $1,833.36	Professional		$221.34	$351.33	$1,833.36
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 $216.65 / $288.14 / $497.29	Professional		$216.65	$288.14	$497.29