Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.30 / $2,598.00 / $7,365.00	Facility		$547.30	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $291.68 / $325.00 / $410.48	Facility	54	$291.68	$325.00	$410.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $470.79 / $810.19	Professional		$413.35	$470.79	$810.19
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 $426.22 / $528.41 / $813.83	Professional		$426.22	$528.41	$813.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.66 / $635.33 / $1,030.00	Professional		$466.66	$635.33	$1,030.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.17 / $663.88 / $1,356.16	Facility		$417.17	$663.88	$1,356.16
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,496.25 / $1,496.25 / $1,496.25	Facility	54	$1,496.25	$1,496.25	$1,496.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.56 / $757.73 / $3,835.28	Professional		$506.56	$757.73	$3,835.28
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 $465.77 / $646.90 / $1,052.03	Professional		$465.77	$646.90	$1,052.03