Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.08 / $1,907.00 / $7,365.00	Facility		$396.08	$1,907.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.70 / $274.94 / $350.03	Facility	54	$248.70	$274.94	$350.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.39 / $410.82 / $892.79	Professional		$354.39	$410.82	$892.79
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 $367.54 / $468.53 / $700.00	Professional		$367.54	$468.53	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.30 / $542.02 / $876.90	Professional		$399.30	$542.02	$876.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.01 / $569.97 / $1,256.83	Facility		$359.01	$569.97	$1,256.83
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 $431.18 / $645.27 / $3,238.80	Professional		$431.18	$645.27	$3,238.80
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 $396.59 / $539.33 / $919.24	Professional		$396.59	$539.33	$919.24