Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $1,624.51 / $5,570.00	Facility		$286.27	$1,624.51	$5,570.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.70 / $201.30 / $303.05	Facility	54	$189.70	$201.30	$303.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $265.25 / $507.85	Professional		$215.47	$265.25	$507.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,971.00 / $4,707.00	Facility		$1,689.00	$2,971.00	$4,707.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.08 / $304.18 / $525.96	Professional		$235.08	$304.18	$525.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.67 / $221.28 / $371.82	Facility		$184.67	$221.28	$371.82
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.10 / $300.10 / $300.10	Facility	54	$300.10	$300.10	$300.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $364.22 / $569.71	Professional		$244.25	$364.22	$569.71
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $896.00 / $2,577.00	Facility		$294.00	$896.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.11 / $325.74 / $567.30	Professional		$231.11	$325.74	$567.30