Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,612.00 / $7,500.00	Facility		$625.00	$3,612.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $236.51 / $236.51 / $255.13	Facility	54	$236.51	$236.51	$255.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $315.35 / $340.17	Professional		$266.30	$315.35	$340.17
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 $285.25 / $386.05 / $458.12	Professional		$285.25	$386.05	$458.12
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 $277.12 / $385.03 / $515.11	Professional		$277.12	$385.03	$515.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $303.60 / $403.84 / $1,467.84	Facility		$303.60	$403.84	$1,467.84
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,009.86 / $1,009.86 / $1,009.86	Facility	54	$1,009.86	$1,009.86	$1,009.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $361.13 / $2,500.16	Professional		$273.13	$361.13	$2,500.16
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 $267.06 / $333.83 / $486.20	Professional		$267.06	$333.83	$486.20