Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.79 / $2,508.00 / $7,500.00	Facility		$494.79	$2,508.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $179.10 / $179.10 / $192.68	Facility	54	$179.10	$179.10	$192.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $238.80 / $256.91	Professional		$195.15	$238.80	$256.91
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 $219.69 / $291.51 / $344.93	Professional		$219.69	$291.51	$344.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $207.85 / $207.85	Facility		$207.85	$207.85	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $297.62 / $394.95	Professional		$212.37	$297.62	$394.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $314.95 / $1,145.00	Facility		$231.22	$314.95	$1,145.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $764.03 / $764.03 / $764.03	Facility	54	$764.03	$764.03	$764.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.38 / $281.07 / $1,896.64	Professional		$212.38	$281.07	$1,896.64
United Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $599.91 / $1,615.00	Facility		$105.76	$599.91	$1,615.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $266.79 / $366.50	Professional		$204.70	$266.79	$366.50