Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,576.00 / $7,500.00	Facility		$625.00	$3,576.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.28 / $336.28 / $371.49	Facility	54	$336.28	$336.28	$371.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $448.37 / $495.32	Professional		$393.50	$448.37	$495.32
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 $414.31 / $558.94 / $668.73	Professional		$414.31	$558.94	$668.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,351.42 / $1,351.42 / $1,351.42	Facility		$1,351.42	$1,351.42	$1,351.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.02 / $563.44 / $747.59	Professional		$407.02	$563.44	$747.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.37 / $592.86 / $2,180.00	Facility		$448.37	$592.86	$2,180.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,415.72 / $1,415.72 / $1,415.72	Facility	54	$1,415.72	$1,415.72	$1,415.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.79 / $539.04 / $3,606.48	Professional		$403.79	$539.04	$3,606.48
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,325.00 / $2,637.00	Facility		$375.00	$1,325.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.19 / $486.49 / $700.71	Professional		$389.19	$486.49	$700.71