Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.04 / $2,782.00 / $7,365.00	Facility		$373.04	$2,782.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.41 / $234.53 / $303.95	Facility	54	$216.41	$234.53	$303.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.55 / $344.35 / $587.88	Professional		$288.55	$344.35	$587.88
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 $298.00 / $372.00 / $549.29	Professional		$298.00	$372.00	$549.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.69 / $452.11 / $743.51	Professional		$327.69	$452.11	$743.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.74 / $480.59 / $1,004.69	Facility		$311.74	$480.59	$1,004.69
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,120.06 / $1,120.06 / $1,120.06	Facility	54	$1,120.06	$1,120.06	$1,120.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.98 / $541.53 / $2,784.64	Professional		$348.98	$541.53	$2,784.64
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 $333.90 / $445.20 / $756.70	Professional		$333.90	$445.20	$756.70