Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.17 / $1,000.00 / $2,812.00	Facility		$531.17	$1,000.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $398.39 / $431.57 / $490.32	Facility	54	$398.39	$431.57	$490.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $517.34 / $680.40	Professional		$413.35	$517.34	$680.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.96 / $1,458.96 / $1,750.75	Facility		$1,458.96	$1,458.96	$1,750.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.02 / $647.23 / $722.96	Professional		$489.02	$647.23	$722.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $167.26 / $167.26	Facility		$167.26	$167.26	$167.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.00 / $706.81 / $852.62	Professional		$461.00	$706.81	$852.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $672.97 / $672.97 / $672.97	Professional		$672.97	$672.97	$672.97
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.97 / $553.75 / $899.51	Professional		$451.97	$553.75	$899.51