Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,683.00 / $7,500.00	Facility		$882.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $391.68 / $391.68 / $391.68	Facility	54	$391.68	$391.68	$391.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.73 / $3,505.71 / $5,538.99	Facility		$2,206.73	$3,505.71	$5,538.99
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
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.85 / $690.00 / $3,910.00	Facility		$502.85	$690.00	$3,910.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $898.43 / $3,154.80 / $3,154.80	Facility	54	$898.43	$3,154.80	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00