Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.02 / $165.02 / $187.40	Facility	54	$165.02	$165.02	$187.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $220.02 / $276.79	Professional		$177.78	$220.02	$276.79
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 $203.84 / $274.42 / $324.61	Professional		$203.84	$274.42	$324.61
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 $201.83 / $280.33 / $376.94	Professional		$201.83	$280.33	$376.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.47 / $290.87 / $1,023.04	Facility		$213.47	$290.87	$1,023.04
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 $200.08 / $267.04 / $1,835.84	Professional		$200.08	$267.04	$1,835.84
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.77 / $247.21 / $352.56	Professional		$197.77	$247.21	$352.56