Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.37 / $1,636.00 / $6,435.00	Facility		$375.37	$1,636.00	$6,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $155.69 / $155.69 / $171.62	Facility	52	$155.69	$155.69	$171.62
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.54 / $233.54 / $257.43	Facility	54	$233.54	$233.54	$257.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $311.38 / $399.85	Professional		$254.15	$311.38	$399.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.41 / $1,411.90 / $2,202.66	Facility		$900.41	$1,411.90	$2,202.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $385.44 / $450.96	Professional		$280.70	$385.44	$450.96
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 $269.72 / $370.13 / $504.39	Professional		$269.72	$370.13	$504.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.41 / $394.35 / $1,439.66	Facility		$302.41	$394.35	$1,439.66
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,151.73 / $1,151.73 / $1,151.73	Facility	52	$1,151.73	$1,151.73	$1,151.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,007.76 / $1,007.76 / $1,007.76	Facility	54	$1,007.76	$1,007.76	$1,007.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.04 / $347.87 / $2,546.80	Professional		$265.04	$347.87	$2,546.80
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 $247.91 / $312.52 / $462.05	Professional		$247.91	$312.52	$462.05