Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.41 / $406.62 / $5,691.00	Facility		$251.41	$406.62	$5,691.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $170.21 / $186.87 / $242.78	Facility	54	$170.21	$186.87	$242.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $271.61 / $837.37	Professional		$222.40	$271.61	$837.37
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 $217.60 / $283.87 / $435.67	Professional		$217.60	$283.87	$435.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.20 / $360.28 / $593.33	Professional		$268.20	$360.28	$593.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.79 / $363.01 / $757.00	Facility		$211.79	$363.01	$757.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $885.90 / $885.90 / $885.90	Facility	54	$885.90	$885.90	$885.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $427.22 / $2,222.64	Professional		$269.70	$427.22	$2,222.64
United Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $760.00 / $1,300.00	Facility		$176.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.44 / $349.92 / $600.27	Professional		$262.44	$349.92	$600.27