Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.81 / $226.81 / $240.89	Facility	54	$226.81	$226.81	$240.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.41 / $321.19 / $382.73	Professional		$302.41	$321.19	$382.73
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 $272.64 / $366.60 / $436.73	Professional		$272.64	$366.60	$436.73
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 $315.55 / $389.82 / $534.04	Professional		$315.55	$389.82	$534.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.73 / $398.00 / $1,413.04	Facility		$289.73	$398.00	$1,413.04
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $970.65 / $970.65 / $970.65	Facility	54	$970.65	$970.65	$970.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $396.72 / $2,363.92	Professional		$266.88	$396.72	$2,363.92
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 $251.18 / $329.68 / $488.66	Professional		$251.18	$329.68	$488.66