Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.92 / $1,013.50 / $4,847.00	Facility		$223.92	$1,013.50	$4,847.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $145.56 / $154.10 / $240.33	Facility	54	$145.56	$154.10	$240.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $206.08 / $405.46	Professional		$163.97	$206.08	$405.46
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $127.65 / $154.22 / $247.33	Professional	54	$127.65	$154.22	$247.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $2,971.00 / $4,707.00	Facility		$1,529.00	$2,971.00	$4,707.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $234.62 / $401.98	Professional		$179.48	$234.62	$401.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.67 / $221.28 / $313.89	Facility		$184.67	$221.28	$313.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.60 / $230.60 / $230.60	Facility	54	$230.60	$230.60	$230.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.47 / $276.94 / $417.73	Professional		$188.47	$276.94	$417.73
United Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $1,158.00 / $2,720.00	Facility		$293.00	$1,158.00	$2,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $245.06 / $418.85	Professional		$174.86	$245.06	$418.85