Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.54 / $2,832.00 / $9,304.00	Facility		$579.54	$2,832.00	$9,304.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $308.74 / $336.02 / $434.66	Facility	54	$308.74	$336.02	$434.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.65 / $510.31 / $913.08	Professional		$411.65	$510.31	$913.08
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 $457.48 / $579.00 / $878.56	Professional		$457.48	$579.00	$878.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.67 / $675.96 / $1,090.92	Professional		$500.67	$675.96	$1,090.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.80 / $704.06 / $1,397.85	Facility		$445.80	$704.06	$1,397.85
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,572.54 / $1,572.54 / $1,572.54	Facility	54	$1,572.54	$1,572.54	$1,572.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.59 / $794.25 / $3,926.40	Professional		$523.59	$794.25	$3,926.40
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 $487.21 / $651.47 / $1,105.80	Professional		$487.21	$651.47	$1,105.80