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 $189.53 / $189.53 / $205.88	Facility	54	$189.53	$189.53	$205.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $252.71 / $279.92	Professional		$220.46	$252.71	$279.92
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 $229.95 / $313.39 / $378.71	Professional		$229.95	$313.39	$378.71
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 $220.70 / $307.04 / $414.80	Professional		$220.70	$307.04	$414.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.33 / $322.85 / $1,145.00	Facility		$233.33	$322.85	$1,145.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $824.44 / $824.44 / $824.44	Facility	54	$824.44	$824.44	$824.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $289.94 / $2,044.16	Professional		$217.11	$289.94	$2,044.16
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 $217.11 / $269.10 / $394.38	Professional		$217.11	$269.10	$394.38