Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.97 / $1,422.28 / $5,150.00	Facility		$495.97	$1,422.28	$5,150.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.86 / $366.94 / $581.24	Facility	54	$336.86	$366.94	$581.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $499.88 / $875.76	Professional		$397.69	$499.88	$875.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,693.00 / $5,962.00	Facility		$1,636.00	$3,693.00	$5,962.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.48 / $593.29 / $937.40	Professional		$448.48	$593.29	$937.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.30 / $761.30 / $1,009.20	Facility		$761.30	$761.30	$1,009.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.70 / $659.03 / $1,040.74	Professional		$463.70	$659.03	$1,040.74
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,940.00 / $4,067.00	Facility		$719.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.16 / $615.42 / $1,068.81	Professional		$435.16	$615.42	$1,068.81