Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.43 / $3,683.00 / $8,400.00	Facility		$929.43	$3,683.00	$8,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $376.43 / $376.43 / $376.43	Facility	54	$376.43	$376.43	$376.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,241.42 / $3,505.71 / $5,498.52	Facility		$2,241.42	$3,505.71	$5,498.52
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
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.38 / $657.41 / $4,083.73	Facility		$478.38	$657.41	$4,083.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $874.50 / $3,154.80 / $3,154.80	Facility	54	$874.50	$3,154.80	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,990.00 / $4,012.00	Facility		$575.00	$1,990.00	$4,012.00