Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.31 / $2,507.00 / $7,365.00	Facility		$229.31	$2,507.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $122.61 / $146.26 / $183.56	Facility	54	$122.61	$146.26	$183.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $206.08 / $455.86	Professional		$163.47	$206.08	$455.86
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $130.52 / $151.69 / $287.42	Professional	54	$130.52	$151.69	$287.42
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 $160.00 / $203.84 / $301.25	Professional		$160.00	$203.84	$301.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $253.32 / $412.65	Professional		$189.92	$253.32	$412.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.93 / $258.97 / $640.26	Facility		$147.93	$258.97	$640.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $641.12 / $641.12 / $641.12	Facility	54	$641.12	$641.12	$641.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.24 / $298.14 / $1,554.96	Professional		$190.24	$298.14	$1,554.96
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 $185.29 / $255.34 / $409.04	Professional		$185.29	$255.34	$409.04