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 $203.30 / $203.30 / $227.19	Facility	54	$203.30	$203.30	$227.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $271.06 / $331.96	Professional		$220.90	$271.06	$331.96
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 $245.00 / $336.42 / $407.83	Professional		$245.00	$336.42	$407.83
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 $232.52 / $322.77 / $443.55	Professional		$232.52	$322.77	$443.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.60 / $339.82 / $1,145.00	Facility		$254.60	$339.82	$1,145.00
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 $235.30 / $305.49 / $2,236.16	Professional		$235.30	$305.49	$2,236.16
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 $228.77 / $284.58 / $414.72	Professional		$228.77	$284.58	$414.72