Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.41 / $2,598.00 / $7,365.00	Facility		$575.41	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $306.33 / $312.37 / $431.56	Facility	54	$306.33	$312.37	$431.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.49 / $497.51 / $762.78	Professional		$416.49	$497.51	$762.78
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 $450.40 / $531.09 / $849.43	Professional		$450.40	$531.09	$849.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.06 / $632.69 / $1,027.72	Professional		$483.06	$632.69	$1,027.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.49 / $663.58 / $1,348.80	Facility		$416.49	$663.58	$1,348.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,570.45 / $1,570.45 / $1,570.45	Facility	54	$1,570.45	$1,570.45	$1,570.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $479.66 / $731.87 / $3,665.28	Professional		$479.66	$731.87	$3,665.28
United Facility/Professional Facility Modifier Low / Median / High Price $205.10 / $760.00 / $1,300.00	Facility		$205.10	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.15 / $601.54 / $1,021.94	Professional		$451.15	$601.54	$1,021.94