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 $149.47 / $149.47 / $164.82	Facility	54	$149.47	$149.47	$164.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $199.30 / $219.76	Professional		$164.59	$199.30	$219.76
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 $180.60 / $247.99 / $294.69	Professional		$180.60	$247.99	$294.69
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 $182.03 / $253.65 / $338.76	Professional		$182.03	$253.65	$338.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.24 / $263.70 / $940.92	Facility		$190.24	$263.70	$940.92
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $635.79 / $635.79 / $635.79	Facility	54	$635.79	$635.79	$635.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.82 / $240.97 / $1,621.44	Professional		$181.82	$240.97	$1,621.44
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 $175.25 / $219.06 / $321.00	Professional		$175.25	$219.06	$321.00