Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.19 / $2,598.00 / $7,365.00	Facility		$316.19	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.16 / $188.36 / $237.14	Facility	54	$168.16	$188.36	$237.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $278.33 / $713.40	Professional		$224.21	$278.33	$713.40
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 $237.57 / $282.00 / $418.65	Professional		$237.57	$282.00	$418.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $355.78 / $584.44	Professional		$258.00	$355.78	$584.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.21 / $361.12 / $755.96	Facility		$224.21	$361.12	$755.96
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $875.28 / $875.28 / $875.28	Facility	54	$875.28	$875.28	$875.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $429.45 / $2,236.16	Professional		$267.70	$429.45	$2,236.16
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 $259.16 / $338.98 / $607.58	Professional		$259.16	$338.98	$607.58