Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.62 / $2,598.00 / $7,365.00	Facility		$293.62	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $167.13 / $184.63 / $236.07	Facility	54	$167.13	$184.63	$236.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $266.83 / $430.70	Professional		$222.84	$266.83	$430.70
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 $227.02 / $279.01 / $412.24	Professional		$227.02	$279.01	$412.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $348.67 / $572.85	Professional		$258.00	$348.67	$572.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.84 / $357.08 / $749.55	Facility		$222.84	$357.08	$749.55
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $871.06 / $871.06 / $871.06	Facility	54	$871.06	$871.06	$871.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $420.65 / $2,195.76	Professional		$264.45	$420.65	$2,195.76
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 $259.20 / $340.78 / $595.58	Professional		$259.20	$340.78	$595.58