Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.27 / $2,598.00 / $7,365.00	Facility		$468.27	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.39 / $251.10 / $351.20	Facility	54	$248.39	$251.10	$351.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $400.01 / $625.10	Professional		$334.80	$400.01	$625.10
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 $368.02 / $449.83 / $706.81	Professional		$368.02	$449.83	$706.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.85 / $519.17 / $837.51	Professional		$395.85	$519.17	$837.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.80 / $544.01 / $1,177.83	Facility		$334.80	$544.01	$1,177.83
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,275.83 / $1,275.83	Facility	54	$1,275.83	$1,275.83	$1,275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $592.79 / $2,941.28	Professional		$396.37	$592.79	$2,941.28
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.46 / $504.80 / $828.26	Professional		$363.46	$504.80	$828.26