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 $357.03 / $357.03 / $396.02	Facility	54	$357.03	$357.03	$396.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $476.04 / $528.02	Professional		$413.35	$476.04	$528.02
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 $439.74 / $594.02 / $681.04	Professional		$439.74	$594.02	$681.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,351.42 / $1,351.42 / $1,351.42	Facility		$1,351.42	$1,351.42	$1,351.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $588.09 / $792.98	Professional		$432.02	$588.09	$792.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $471.26 / $610.78 / $1,676.40	Facility		$471.26	$610.78	$1,676.40
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 $429.54 / $563.04 / $3,835.28	Professional		$429.54	$563.04	$3,835.28
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $607.00 / $1,883.00	Facility		$139.00	$607.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.02 / $527.85 / $779.90	Professional		$414.02	$527.85	$779.90