Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,576.00 / $7,500.00	Facility		$500.00	$3,576.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.10 / $202.10 / $222.98	Facility	54	$202.10	$202.10	$222.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $269.47 / $297.30	Professional		$221.28	$269.47	$297.30
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 $243.95 / $334.98 / $405.54	Professional		$243.95	$334.98	$405.54
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 $233.05 / $322.86 / $433.67	Professional		$233.05	$322.86	$433.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.23 / $339.88 / $1,145.00	Facility		$252.23	$339.88	$1,145.00
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 $230.40 / $300.52 / $2,195.76	Professional		$230.40	$300.52	$2,195.76
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 $225.26 / $279.80 / $406.08	Professional		$225.26	$279.80	$406.08