Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $247.70 / $247.70 / $261.02	Facility	54	$247.70	$247.70	$261.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $330.26 / $389.35	Professional		$273.88	$330.26	$389.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.21 / $1,878.12 / $2,967.41	Facility		$1,182.21	$1,878.12	$2,967.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $401.89 / $497.19	Professional		$298.89	$401.89	$497.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $207.85 / $207.85	Facility		$207.85	$207.85	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.73 / $393.85 / $519.22	Professional		$282.73	$393.85	$519.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.24 / $415.73 / $1,168.86	Facility		$313.24	$415.73	$1,168.86
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,063.92 / $1,063.92 / $1,063.92	Facility	54	$1,063.92	$1,063.92	$1,063.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.92 / $364.92 / $2,559.44	Professional		$274.92	$364.92	$2,559.44
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $341.05 / $481.49	Professional		$272.83	$341.05	$481.49