Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.04 / $2,275.00 / $5,691.00	Facility		$353.04	$2,275.00	$5,691.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.51 / $221.87 / $278.79	Facility	54	$197.51	$221.87	$278.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $340.38 / $1,039.50	Professional		$276.31	$340.38	$1,039.50
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 $272.00 / $340.60 / $534.82	Professional		$272.00	$340.60	$534.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $428.91 / $692.50	Professional		$313.64	$428.91	$692.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.12 / $431.84 / $875.00	Facility		$259.12	$431.84	$875.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,020.47 / $1,020.47 / $1,020.47	Facility	54	$1,020.47	$1,020.47	$1,020.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $514.28 / $2,621.60	Professional		$343.00	$514.28	$2,621.60
United Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $875.00 / $1,546.88	Facility		$247.00	$875.00	$1,546.88
United Facility/Professional Professional Modifier Low / Median / High Price $316.68 / $421.04 / $716.13	Professional		$316.68	$421.04	$716.13