Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.97 / $2,507.00 / $7,365.00	Facility		$237.97	$2,507.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.46 / $154.19 / $190.76	Facility	54	$135.46	$154.19	$190.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $224.14 / $464.06	Professional		$180.61	$224.14	$464.06
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 $197.99 / $251.00 / $360.55	Professional		$197.99	$251.00	$360.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $298.17 / $481.68	Professional		$220.87	$298.17	$481.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.61 / $306.58 / $669.20	Facility		$180.61	$306.58	$669.20
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $701.49 / $701.49 / $701.49	Facility	54	$701.49	$701.49	$701.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.98 / $356.06 / $1,835.84	Professional		$231.98	$356.06	$1,835.84
United Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $760.00 / $1,300.00	Facility		$176.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $290.52 / $496.62	Professional		$225.10	$290.52	$496.62