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 $241.70 / $241.70 / $260.82	Facility	54	$241.70	$241.70	$260.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.92 / $322.27 / $394.55	Professional		$257.92	$322.27	$394.55
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 $292.25 / $395.68 / $476.30	Professional		$292.25	$395.68	$476.30
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 $286.67 / $398.30 / $528.64	Professional		$286.67	$398.30	$528.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.18 / $418.82 / $1,500.00	Facility		$310.18	$418.82	$1,500.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,032.09 / $1,032.09 / $1,032.09	Facility	54	$1,032.09	$1,032.09	$1,032.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.52 / $376.32 / $2,561.19	Professional		$284.52	$376.32	$2,561.19
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 $276.02 / $345.02 / $486.48	Professional		$276.02	$345.02	$486.48