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 $192.01 / $192.01 / $206.09	Facility	54	$192.01	$192.01	$206.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $256.01 / $280.05	Professional		$215.47	$256.01	$280.05
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 $232.75 / $313.39 / $373.93	Professional		$232.75	$313.39	$373.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $207.85 / $207.85	Facility		$207.85	$207.85	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.63 / $305.86 / $415.28	Professional		$223.63	$305.86	$415.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.74 / $326.89 / $1,145.00	Facility		$236.74	$326.89	$1,145.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $833.97 / $833.97 / $833.97	Facility	54	$833.97	$833.97	$833.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.20 / $290.00 / $2,035.92	Professional		$218.20	$290.00	$2,035.92
United Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $604.50 / $1,883.00	Facility		$105.76	$604.50	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.69 / $271.02 / $382.15	Professional		$208.69	$271.02	$382.15