Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.59 / $375.59 / $382.88	Facility	54	$375.59	$375.59	$382.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.46 / $509.52 / $519.54	Professional		$407.46	$509.52	$519.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.05 / $613.19 / $642.84	Professional		$456.05	$613.19	$642.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $207.85 / $207.85	Facility		$207.85	$207.85	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.30 / $591.40 / $768.53	Professional		$425.30	$591.40	$768.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $609.49 / $1,676.40	Facility		$461.00	$609.49	$1,676.40
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 $416.06 / $546.98 / $3,665.28	Professional		$416.06	$546.98	$3,665.28
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.02 / $501.28 / $715.91	Professional		$401.02	$501.28	$715.91