Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,683.00 / $7,500.00	Facility		$882.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $367.86 / $367.86 / $367.86	Facility	54	$367.86	$367.86	$367.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.35 / $490.48 / $499.00	Professional		$391.35	$490.48	$499.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.21 / $1,878.12 / $2,967.41	Facility		$1,182.21	$1,878.12	$2,967.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.25 / $600.02 / $634.08	Professional		$446.25	$600.02	$634.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,351.42 / $1,351.42 / $1,351.42	Facility		$1,351.42	$1,351.42	$1,351.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.12 / $587.37 / $732.79	Professional		$459.12	$587.37	$732.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $619.17 / $2,743.00	Facility		$437.75	$619.17	$2,743.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $856.06 / $3,154.80 / $3,154.80	Facility	54	$856.06	$3,154.80	$3,154.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.18 / $516.67 / $3,514.08	Professional		$406.18	$516.67	$3,514.08
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 $386.30 / $482.88 / $695.63	Professional		$386.30	$482.88	$695.63