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 $210.59 / $210.59 / $229.46	Facility	54	$210.59	$210.59	$229.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $280.79 / $305.95	Professional		$236.65	$280.79	$305.95
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 $254.10 / $347.10 / $422.73	Professional		$254.10	$347.10	$422.73
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 $246.77 / $343.42 / $462.61	Professional		$246.77	$343.42	$462.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.64 / $360.95 / $1,309.00	Facility		$269.64	$360.95	$1,309.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $900.74 / $900.74 / $900.74	Facility	54	$900.74	$900.74	$900.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.85 / $324.39 / $2,250.64	Professional		$244.85	$324.39	$2,250.64
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $301.70 / $430.21	Professional		$241.37	$301.70	$430.21