Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $3,131.00 / $8,000.00	Facility		$818.00	$3,131.00	$8,000.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $299.63 / $299.63 / $422.87	Facility	54	$299.63	$299.63	$422.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $477.30 / $869.50	Professional		$399.50	$477.30	$869.50
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 $436.90 / $536.92 / $789.54	Professional		$436.90	$536.92	$789.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $618.71 / $1,004.00	Professional		$434.09	$618.71	$1,004.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $668.22 / $4,754.80	Facility		$419.48	$668.22	$4,754.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $856.06 / $856.06 / $3,154.80	Facility	54	$856.06	$856.06	$3,154.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.10 / $643.90 / $3,514.08	Professional		$457.10	$643.90	$3,514.08
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 $434.59 / $603.14 / $968.20	Professional		$434.59	$603.14	$968.20