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 $262.48 / $262.48 / $283.61	Facility	54	$262.48	$262.48	$283.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $349.97 / $385.59	Professional		$280.48	$349.97	$385.59
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 $316.05 / $428.51 / $526.36	Professional		$316.05	$428.51	$526.36
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 $308.08 / $426.08 / $569.20	Professional		$308.08	$426.08	$569.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $446.29 / $1,500.00	Facility		$335.84	$446.29	$1,500.00
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 $300.32 / $396.97 / $2,784.64	Professional		$300.32	$396.97	$2,784.64
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 $296.80 / $370.30 / $530.99	Professional		$296.80	$370.30	$530.99