Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.06 / $2,598.00 / $7,365.00	Facility		$370.06	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.84 / $216.79 / $277.54	Facility	54	$197.84	$216.79	$277.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $314.74 / $540.53	Professional		$263.77	$314.74	$540.53
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 $284.41 / $350.00 / $511.43	Professional		$284.41	$350.00	$511.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.58 / $420.38 / $690.70	Professional		$311.58	$420.38	$690.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.73 / $452.42 / $961.00	Facility		$285.73	$452.42	$961.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,024.70 / $1,024.70 / $1,024.70	Facility	54	$1,024.70	$1,024.70	$1,024.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.86 / $500.57 / $2,579.60	Professional		$327.86	$500.57	$2,579.60
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 $310.83 / $416.85 / $708.51	Professional		$310.83	$416.85	$708.51