Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $3,165.00 / $8,400.00	Facility		$800.00	$3,165.00	$8,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.77 / $336.77 / $369.47	Facility	54	$336.77	$336.77	$369.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.23 / $456.92 / $492.62	Professional		$428.23	$456.92	$492.62
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 $413.20 / $562.01 / $656.10	Professional		$413.20	$562.01	$656.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,351.42 / $1,351.42 / $1,351.42	Facility		$1,351.42	$1,351.42	$1,351.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.21 / $556.45 / $739.43	Professional		$405.21	$556.45	$739.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $449.02 / $601.83 / $4,232.60	Facility		$449.02	$601.83	$4,232.60
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,414.67 / $1,414.67 / $1,414.67	Facility	54	$1,414.67	$1,414.67	$1,414.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.89 / $526.08 / $3,572.56	Professional		$402.89	$526.08	$3,572.56
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $3,317.00 / $5,543.93	Facility		$884.00	$3,317.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $388.33 / $485.41 / $692.84	Professional		$388.33	$485.41	$692.84