Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.74 / $3,683.00 / $18,600.00	Facility		$313.74	$3,683.00	$18,600.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $224.24 / $224.24 / $235.31	Facility	54	$224.24	$224.24	$235.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $298.98 / $349.69	Professional		$244.84	$298.98	$349.69
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $188.74 / $228.62 / $235.31	Professional	54	$188.74	$228.62	$235.31
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 $269.85 / $362.83 / $430.87	Professional		$269.85	$362.83	$430.87
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 $239.51 / $339.28 / $466.95	Professional		$239.51	$339.28	$466.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.13 / $372.93 / $1,145.00	Facility		$254.13	$372.93	$1,145.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $969.60 / $969.60 / $969.60	Facility	54	$969.60	$969.60	$969.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.41 / $316.70 / $2,320.96	Professional		$245.41	$316.70	$2,320.96
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 $236.21 / $298.08 / $454.31	Professional		$236.21	$298.08	$454.31