Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.58 / $3,131.00 / $7,365.00	Facility		$425.58	$3,131.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $227.63 / $248.25 / $319.19	Facility	54	$227.63	$248.25	$319.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $375.74 / $990.08	Professional		$311.50	$375.74	$990.08
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 $325.08 / $403.00 / $592.49	Professional		$325.08	$403.00	$592.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.87 / $482.08 / $790.33	Professional		$357.87	$482.08	$790.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.41 / $507.18 / $1,082.30	Facility		$327.41	$507.18	$1,082.30
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.11 / $1,174.11 / $1,174.11	Facility	54	$1,174.11	$1,174.11	$1,174.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.92 / $573.21 / $2,936.88	Professional		$373.92	$573.21	$2,936.88
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 $354.04 / $475.28 / $807.82	Professional		$354.04	$475.28	$807.82